MEDICARE: TANYA PARENT PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F402400-1	NY

General Provider Information

NPI Number	:	1801381728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA PARENT PMHNP

Provider Business Mailing Address
First Line	:	77 MILLER RD
Second Line	:
City	:	CASTLETON ON HUDSON
State	:	NY
Zip	:	12033-4040
Country	:	US
Telephone Number	:	518-759-5681
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 MILLER RD
Second Line	:
City	:	CASTLETON ON HUDSON
State	:	NY
Zip	:	12033-4040
Country	:	US
Telephone Number	:	518-759-5681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	02/11/2026

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