Individual
TATUM TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4444
(308) 762-6660
Mailing address
PO BOX 2862, WINTER PARK, CO 80482-2862
(540) 525-8546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0998736
CO
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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