Individual
TYLER BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2236 HARRISON ST, BATESVILLE, AR 72501-7417
(870) 793-1483
Mailing address
2236 HARRISON ST, BATESVILLE, AR 72501-7417
(870) 793-1483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121764
AR
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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