Individual
CHANCE ROBERTSON TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
621 HAPPY VALLEY RD, GLASGOW, KY 42141-1541
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100456790
—
KY
Enumeration date
06/27/2016
Last updated
03/18/2021
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