Individual
SARAH ANN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
300 W DIXIE AVE STE 200, ELIZABETHTOWN, KY 42701-1764
(270) 982-0855
(270) 982-0866
Mailing address
300 W DIXIE AVE STE 200, ELIZABETHTOWN, KY 42701-1764
(270) 982-0855
(270) 982-0866
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018166
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100853030
—
KY
Enumeration date
08/16/2022
Last updated
01/29/2025
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