Individual
MRS. TYLA ALEXIS ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 MILL RD, FAIRPORT, NY 14450-3139
(585) 698-5373
Mailing address
24 AUSTIN ST, ROCHESTER, NY 14606-1708
(585) 713-8687
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
741333
NY
163WH0200X
Home Health Registered Nurse
741333
NY
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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