Individual
TIFFANY TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5050 E KENOSHA ST, BROKEN ARROW, OK 74014-6711
(918) 335-9492
Mailing address
5050 E KENOSHA ST, BROKEN ARROW, OK 74014-6711
(918) 355-9492
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
99349
OK
Other
Enumeration date
03/01/2017
Last updated
01/12/2018
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