Individual
TYLER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 734-6784
Mailing address
426 CLINTON ST, CLAYTON, OH 45315-8965
(937) 308-2268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0032342
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0032342
OH
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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