| Tayla Lyn Durant, NP | |
|
15 Raymond St, Potsdam, NY 13676-1163 | |
| (315) 265-9271 | |
| Not Available |
| Full Name | Tayla Lyn Durant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 15 Raymond St, Potsdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114531670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 383188 (New York) | Primary |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Tayla Lyn Durant, NP 50 Leroy St, Potsdam, NY 13676-1786 Ph: () - | Tayla Lyn Durant, NP 15 Raymond St, Potsdam, NY 13676-1163 Ph: (315) 265-9271 |
Matthew Bonner Mclain, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Ms. Lucille Lyda Hanson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Market St, Potsdam, NY 13676 Phone: 315-274-7003 Fax: 315-425-2653 | |
Mr. Joseph John Adams Iv, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Noel Lawton Bloomfield Ii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-274-9075 | |
Judith Leach Chagnon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Student Health Ctr, Clarkson University, Potsdam, NY 13699 Phone: 315-268-6633 | |
Matthew Clark Jenison, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |