Provider Demographics
NPI:1740475524
Name:SLYNE, TAI C (DNP,ARNP, FNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:TAI
Middle Name:C
Last Name:SLYNE
Suffix:
Gender:F
Credentials:DNP,ARNP, FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 GILCREAST RD UNIT 210
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3566
Mailing Address - Country:US
Mailing Address - Phone:603-305-7076
Mailing Address - Fax:888-271-7687
Practice Address - Street 1:75 GILCREAST RD UNIT 210
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3566
Practice Address - Country:US
Practice Address - Phone:603-305-7076
Practice Address - Fax:888-271-7687
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHF0607217363LF0000X
NH035125-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30346494Medicaid
NH3145302Medicaid
NH3073168Medicaid