Individual
MR. TYLER HENDERSON KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 668-0289
Mailing address
1423 BROOKS AVE, RALEIGH, NC 27607-3705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
005454
NC
367500000X
Certified Registered Nurse Anesthetist
244227
NC
Other
Enumeration date
06/21/2016
Last updated
07/01/2021
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