Individual
WILLIAM DRAKE TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7448
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-178638
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-178638
AL
Other
Enumeration date
11/28/2022
Last updated
04/07/2025
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