Healthcare Provider Details

I. General information

NPI: 1942013016
Provider Name (Legal Business Name): TYLER STEELE CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 KING RD
TOLEDO OH
43617-1406
US

IV. Provider business mailing address

106 S SULLIVAN DR
HASKINS OH
43525-9500
US

V. Phone/Fax

Practice location:
  • Phone: 567-455-5800
  • Fax:
Mailing address:
  • Phone: 419-309-9296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.003860
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberF01251094
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: