Individual
MR. CA'SEEM TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
9375 CHESAPEAKE ST STE 219, LA PLATA, MD 20646-3654
(240) 617-0212
(877) 775-0210
Mailing address
9375 CHESAPEAKE ST STE 219, LA PLATA, MD 20646-3654
(240) 617-0212
(877) 775-0210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R219935
MD
Other
Enumeration date
11/01/2020
Last updated
01/21/2025
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