Most Relevant Information
Provider Data
| NPI Number: | 1003375569 |
| Provider Name: | TARYN JANE DEANTONIO CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN632596 |
Most Important Dates
| Enumeration Date: | 03/14/2019 |
| Last Updated: | 04/14/2022 |
Provider Practice Location
246 S MAIN ST
HUGHESVILLE
PA
177371614
Practice Location Phone/Fax
| Phone: | 5705845144 |
| Fax: | 5705845416 |
Provider Mailing Location
7 DOCK HILL RD
MIDDLEBURG
PA
178428910
Provider Mailing Phone/Fax
| Phone: | 5708372123 |
| Fax: | 5708372185 |