Individual
BRENDA TYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1220 E BAYLOR CT, GILBERT, AZ 85296-4365
(480) 296-4663
Mailing address
1220 E BAYLOR CT, GILBERT, AZ 85296-4365
(480) 296-4663
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
250556
AZ
Other
Enumeration date
12/04/2020
Last updated
02/12/2024
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