Individual
TARYN KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-6468
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2353243
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN2353243
MA
Other
Enumeration date
01/09/2025
Last updated
02/04/2025
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