Individual
LAURA L TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
710 MAIN ST BLDG 4, PLANTSVILLE, CT 06479-1567
(860) 378-2891
Mailing address
6 FAWN DR, FARMINGTON, CT 06032-3067
(860) 751-4937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8381
CT
363LF0000X
Family Nurse Practitioner
8381
CT
363LP2300X
Primary Care Nurse Practitioner
8381
CT
Other
Enumeration date
09/14/2019
Last updated
08/21/2020
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