Provider Demographics
NPI:1629147707
Name:HYNICK, HEATHER M (MSN ANP-C, FNP-C)
Entity Type:Individual
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First Name:HEATHER
Middle Name:M
Last Name:HYNICK
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Gender:F
Credentials:MSN ANP-C, FNP-C
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Mailing Address - Street 1:211 CHURCH ST. / SURGICAL SERVICES
Mailing Address - Street 2:SARATOGA HOSPITAL
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1003
Mailing Address - Country:US
Mailing Address - Phone:518-583-8318
Mailing Address - Fax:518-587-5068
Practice Address - Street 1:211 CHURCH ST. / SURGICAL SERVICES
Practice Address - Street 2:SARATOGA HOSPITAL
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1003
Practice Address - Country:US
Practice Address - Phone:518-583-8318
Practice Address - Fax:518-587-5068
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-11-18
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Provider Licenses
StateLicense IDTaxonomies
NYF3032011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P54866Medicare UPIN
NYNP3745Medicare ID - Type Unspecified