Individual
MRS. ROSE HANNA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 66TH ST N, ST PETERSBURG, FL 33710-1547
(727) 344-6200
Mailing address
3301 66TH ST N, ST PETERSBURG, FL 33710-1547
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11001389
FL
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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