Provider Demographics
NPI:1407866718
Name:FIRMENT, TAUNYA M (PA-C)
Entity Type:Individual
Prefix:MS
First Name:TAUNYA
Middle Name:M
Last Name:FIRMENT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1068
Mailing Address - Country:US
Mailing Address - Phone:814-456-2047
Mailing Address - Fax:814-453-5226
Practice Address - Street 1:3125 FRENCH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1068
Practice Address - Country:US
Practice Address - Phone:814-456-2047
Practice Address - Fax:814-453-5226
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA002095363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1845215OtherHIGHMARK
PA1845215OtherHIGHMARK
PAP69763Medicare UPIN