MEDICARE: RACHEL GRACE TYRER RN, BSN

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	163WW0000X	Wound Care Registered Nurse	283941	TN

General Provider Information

NPI Number	:	1568393841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL GRACE TYRER RN, BSN

Provider Business Mailing Address
First Line	:	2500 BRANSFORD AVE APT 201
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2943
Country	:	US
Telephone Number	:	870-253-4055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 BRANSFORD AVE APT 201
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2943
Country	:	US
Telephone Number	:	870-253-4055
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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