Individual
TYLER J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
217 HARRISBURG AVE, LANCASTER, PA 17603
(717) 544-8300
(717) 544-8265
Mailing address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN648252
PA
363L00000X
Nurse Practitioner
Primary
SP019045
PA
Other
Enumeration date
06/26/2018
Last updated
08/10/2018
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