Individual
TYLER LANE TILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2728 10TH AVE S STE 100, BIRMINGHAM, AL 35205-1202
(205) 939-7884
Mailing address
733 APPALOOSA LN, CHILDERSBURG, AL 35044-8724
(334) 332-4646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113468
AL
Other
Enumeration date
12/15/2014
Last updated
11/20/2018
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