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Contact Information

TYLER L ROBERTSON, CRNA
1 HOSPITAL DR SW
HUNTSVILLE, AL35801-6455
 Phone: 256-429-5071
 Fax: 256-429-4674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TYLER L ROBERTSON · (Male)

NPI Number 1124308473
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 08/18/2011
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-113384
  • TN License # APN16057
  • TN License # RN169321
  • AL Medicaid 133589
  • GA Medicaid 003114495A
  • TN Other 4306609 BCBS OF TN
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
  • DEKALB REGIONAL MEDICAL CENTER - (Acute Care)
    200 MED CENTER DRIVE
    FORT PAYNE, AL 35968
  • MARSHALL MEDICAL CENTER SOUTH - (Acute Care)
    2505 U S HIGHWAY 431 NORTH
    BOAZ, AL 35957
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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