Individual
TYLER NIGELE EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-6478
Mailing address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
EDGE-SRQCI
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2020
Last updated
02/25/2022
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