Provider Demographics
NPI:1821307398
Name:TIGERE, CAROLINE TAFADZWA (APRN-BC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:TAFADZWA
Last Name:TIGERE
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WINTER STREET
Mailing Address - Street 2:EVERCARE HOSPICE AND PALLIATIVE CARE
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451
Mailing Address - Country:US
Mailing Address - Phone:781-472-8640
Mailing Address - Fax:781-472-8747
Practice Address - Street 1:950 WINTER STREET
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451
Practice Address - Country:US
Practice Address - Phone:781-472-8640
Practice Address - Fax:781-472-8747
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251595363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner