Individual
TAYLA LYN DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 RAYMOND ST, POTSDAM, NY 13676-1163
(315) 265-9271
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383188
NY
Other
Enumeration date
09/02/2020
Last updated
07/25/2024
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