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Individual
WILLIAM DRAKE TYNER
Active
Individual
WILLIAM DRAKE TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-178638
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-178638
AL
Other
Enumeration date
11/28/2022
Last updated
04/07/2025
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