Individual
MRS. SARAH JANE TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, NNP
Contact information
Practice address
7675 POPLAR FIELD CIR, BALDWINSVILLE, NY 13027-9350
(305) 915-5133
(315) 638-6240
Mailing address
7675 POPLAR FIELD CIR, BALDWINSVILLE, NY 13027-9350
(305) 915-5133
(315) 638-6240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
350409
NY
363LN0000X
Neonatal Nurse Practitioner
Primary
35-350409
NY
Other
Enumeration date
10/30/2016
Last updated
12/12/2016
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