Provider Demographics
NPI:1306851126
Name:HYLAND, MAUREEN (NP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:HYLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8963 SE CERES ST
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-5403
Mailing Address - Country:US
Mailing Address - Phone:518-935-3049
Mailing Address - Fax:
Practice Address - Street 1:1411 N FLAGLER DR STE 6200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3416
Practice Address - Country:US
Practice Address - Phone:561-820-8580
Practice Address - Fax:561-820-8581
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333366363L00000X
FL9370483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02347822Medicaid
NY02347822Medicaid
NYJ400093271Medicare PIN