Healthcare Provider Details

I. General information

NPI: 1497686778
Provider Name (Legal Business Name): TYLER J SWEET NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 E 46TH ST
INDIANAPOLIS IN
46205-2413
US

IV. Provider business mailing address

6114 BARTLEY DR
NOBLESVILLE IN
46062-6490
US

V. Phone/Fax

Practice location:
  • Phone: 317-920-7888
  • Fax:
Mailing address:
  • Phone: 708-307-1286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF03260427
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: