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NPI Profile for BREANNA TYGER in SPRINGFIELD, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1962758300 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 08/02/2012 | |
| Last updated | 08/02/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BREANNA TYGER
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BREANNA TYGER, RN