| Tara Hyneman, | |
|
77 W Barney St, Gouverneur, NY 13642-1040 | |
| (315) 287-1000 | |
| Not Available |
| Full Name | Tara Hyneman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 77 W Barney St, Gouverneur, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518857440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 357031 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 357031 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Hyneman, 50 Leroy St, Potsdam, NY 13676-1786 Ph: () - | Tara Hyneman, 77 W Barney St, Gouverneur, NY 13642-1040 Ph: (315) 287-1000 |
Meghan Mcgowan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-535-1300 | |
Laurie Faye Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 Fax: 315-535-9207 | |
Mrs. Rachel I Raven, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W. Barney St., Gouverneur, NY 13642 Phone: 315-261-5871 Fax: 315-714-3068 | |
Matthew David Zegil, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 |