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Individual
ADAM JAMES TYLER
Active
Individual
ADAM JAMES TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28220091A
IN
363L00000X
Nurse Practitioner
Primary
71012584A
IN
363LF0000X
Family Nurse Practitioner
2021085859
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064075
—
IN
Enumeration date
08/16/2021
Last updated
11/11/2025
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