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NPI Code Detail

MEDICARE: RONAYNE T HERBERT RNP

MEDICARE: RONAYNE T HERBERT RNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner329626-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245210988
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONAYNE T HERBERT RNP
Provider Business Mailing Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-253-1711
Fax Number : 315-255-7434
Provider Business Practice Location Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-253-1711
Fax Number : 315-255-7434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 04/09/2015

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Directions to “ RONAYNE T HERBERT RNP” Practice Location

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