Individual
TYLER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7253
Mailing address
3608 MARY LN, FULTONDALE, AL 35068-1063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-192051
AL
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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