AVERA TYLER; NPI #1063949089

Contact Information

AVERA TYLER

312 E GEORGE ST
IVANHOE, MN 56142-9707

Phone: 507-694-1414
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for AVERA TYLER

NPI Number	`1063949089`
LBN Legal business name	AVERA TYLER
Authorized official	DEBBIE STREIER - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/22/2017
Last updated	12/02/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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