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Individual

TYLER RAY NEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 568-5427
Mailing address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(304) 531-2461

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232662
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020702
OH

Other

Enumeration date
09/25/2020
Last updated
01/12/2023
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