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NPI Code Detail

MEDICARE: TYLYNN FARMER CRNA

MEDICARE: TYLYNN FARMER CRNA
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
1367500000XCertified Registered Nurse Anesthetist53069OK
2367500000XCertified Registered Nurse AnesthetistC00939AR

General Provider Information

NPI Number : 1124124987
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLYNN FARMER CRNA
Provider Business Mailing Address
First Line : 1111 N DEWEY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2609
Country : US
Telephone Number : 405-979-8046
Fax Number : 405-979-8047
Provider Business Practice Location Address
First Line : 1111 N DEWEY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2609
Country : US
Telephone Number : 405-979-8046
Fax Number : 405-979-8047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 10/07/2025

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