Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | F320005 | NY |
NPI | 1184186595 |
---|---|
Provider Name | Dr. Joyce Ellen Hyatt |
First Address | Big Flats, NY 14814-7948 |
Second Address | Big Flats, NY 14814-7948 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2019 |
Last Update Date | 03/04/2019 |