Provider Demographics
NPI:1083600241
Name:HYNE, BARBARA (ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HYNE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 NW FEDERAL HWY
Mailing Address - Street 2:#B
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9600
Mailing Address - Country:US
Mailing Address - Phone:772-692-8082
Mailing Address - Fax:772-232-9383
Practice Address - Street 1:1607 NW FEDERAL HWY
Practice Address - Street 2:#B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9600
Practice Address - Country:US
Practice Address - Phone:772-692-8082
Practice Address - Fax:772-232-9383
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1262262363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4651TMedicare ID - Type Unspecified
FLP15117Medicare UPIN