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NPI Code Detail

MEDICARE: TAMALA D. GUYTON N.P.

MEDICARE:   TAMALA D. GUYTON  N.P.
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
1363LF0000XFamily Nurse PractitionerCNP.019787OH
2363LF0000XFamily Nurse Practitioner7100IN

General Provider Information

NPI Number : 1770871337
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMALA D. GUYTON N.P.
Provider Business Mailing Address
First Line : 5968 ARVADA WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-4602
Country : US
Telephone Number : 260-409-5641
Fax Number :
Provider Business Practice Location Address
First Line : 4961 ROBERTS RD
Second Line :
City : HILLIARD
State : OH
Zip : 43026-8129
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2011
Last Update Date : 01/28/2026

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Directions to “ TAMALA D. GUYTON N.P.” Practice Location

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