Individual
MRS. SUSAN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC, PCNS-BC
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-9882
Mailing address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-9882
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
28133232A
IN
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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