NPI Profile for TIFFANY TYLER in BROKEN ARROW, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1609316264 |
|
| Status | Active | |
| Credentials | APRN-CNP | |
| Entity | Individual | |
| Enumeration date | 03/01/2017 | |
| Last updated | 01/12/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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TIFFANY TYLER
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