MEDICARE: CHERYL L TYLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033957949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL L TYLER

Provider Business Mailing Address
First Line	:	3250A W 86TH ST # 1307
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3605
Country	:	US
Telephone Number	:	317-740-4697
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250A W 86TH ST # 1307
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3605
Country	:	US
Telephone Number	:	317-740-4697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	08/30/2024

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Directions to “ CHERYL L TYLER ” Practice Location

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