Individual
MR. TYLER T DEWHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
216 HEMLOCK AVE, SOUTH WINDSOR, CT 06074-9606
(860) 471-8030
Mailing address
65 MAPLE DRIVE, TWIN MOUNTAIN, NH 03595
(603) 915-3396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3829
CT
363L00000X
Nurse Practitioner
ARNP3124292
FL
363LA2100X
Acute Care Nurse Practitioner
003829
CT
363LF0000X
Family Nurse Practitioner
Primary
3829
CT
Other
Enumeration date
07/27/2006
Last updated
06/22/2021
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