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Individual
TYLER MILLER-BOST
Active
Individual
TYLER MILLER-BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723L
BLUECROSSBLUESHIELD OF NC
NC
01
—
2335816
MEDICARE PTAN, GROUP WILKES
NC
01
—
2594583A
MEDICARE PTAN INDIVIDUAL ROWAN
NC
05
—
3404380
—
NC
05
—
7005022
—
NC
01
—
NC2161A
MEDICARE PTAN INDIVIDUAL WILKES
NC
Enumeration date
10/06/2009
Last updated
11/16/2011
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