Individual
ROBERTA CHARMAINE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, IBCLC
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-8410
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-8410
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R0034738
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200222060A
—
OK
Enumeration date
11/10/2008
Last updated
03/04/2014
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