Individual
COLLYNNE TYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
4291 NEPTUNE DR SE, ST PETERSBURG, FL 33705-4320
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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