Provider Demographics
NPI:1285839092
Name:HAMRE, TARYN J (APRN)
Entity Type:Individual
Prefix:MRS
First Name:TARYN
Middle Name:J
Last Name:HAMRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 WASHINGTON STREET
Mailing Address - Street 2:CONNECTICUT CHILDREN'S MEDICAL CENTER
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-545-9630
Mailing Address - Fax:860-545-9622
Practice Address - Street 1:CONNECTICUT CHILDREN'S MEDICAL CENTER
Practice Address - Street 2:282 WASHINGTON STREET
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-545-9630
Practice Address - Fax:860-545-9622
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily