Individual
TYLER DAVID GROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
Mailing address
19 16TH ST, NEWPORT, KY 41071-2327
(859) 547-9833
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
000489758
OH
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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