Individual
LATEASA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 844-4211
Mailing address
11313 USA PKWY STE E148, FISHERS, IN 46037-9208
(317) 781-4500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28196273A
IN
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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