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Tyanna Bergeron, NP
Nurse Practitioner in Fulton, New York
NPI 1891257630

Tyanna Bergeron is a Nurse Practitioner based in Oswego, NY. Tyanna Bergeron practices in Fulton, NY and has the professional credentials of NP. The NPI Number for Tyanna Bergeron is 1891257630 and holds a License No. F03190068 (New York).

The current practice location address for Tyanna Bergeron is 522 S 4Th St, Fulton, NY and can be reached out via phone at 155-923-9303.

Location: 522 S 4Th St, Fulton, NY, 13126-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891257630
Provider Name
Tyanna Bergeron
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
522 S 4Th St, Fulton, NY, 13126-2507
Phone Number
155-923-9303
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14421177 01 CAQH
institution
Provider Business Practice Location Address Details
Address
522 S 4Th St
City
Fulton
State
New York
Zip
13069-2946
Phone Number
155-923-9303
Fax Number
person
Provider Business Mailing Address Details
Address
522 S 4Th St
City
Fulton
State
New York
Zip
13069-2946
Phone Number
155-923-9303
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F03190068 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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