Individual
MS. SARAH LOUISE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
119 BROADWAY ST, COLCHESTER, CT 06415-1022
(860) 537-9901
Mailing address
324 FLANDERS RD, EAST LYME, CT 06333-1735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005499
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004217099
PCS MEDICAID LW
CT
01
—
008039745
PCS MEDICAID (BPT)
CT
01
—
008056033
PCS MEDICAID CONGRESS
CT
01
—
008056168
MEDICAID 352 STATE STREET
CT
01
—
008056867
HOAGLAND MEDICAID #
CT
01
—
WEAZY13
HOAGLAND SARAH APRN MEDICARE
CT
Enumeration date
09/08/2013
Last updated
09/04/2024
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