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Individual

COLLYNNE TYER

Active
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Individual

COLLYNNE TYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9385159
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020174300
FL
01
4719020
CIGNA HEALTHCARE
FL
01
VLMPF
FLORIDA BLUE
FL
Enumeration date
08/24/2016
Last updated
08/26/2024
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