Individual
TYLER DALE CHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0136481
OK
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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