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NPI Code Detail

MEDICARE: LINDA MARIE TYLKA FNP

MEDICARE: LINDA MARIE TYLKA FNP
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 Practitioner831064NV

General Provider Information

NPI Number : 1497732655
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MARIE TYLKA FNP
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number : 702-838-1456
Provider Business Practice Location Address
First Line : 888 S RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3810
Country : US
Telephone Number : 702-877-5199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 01/03/2022

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Directions to “ LINDA MARIE TYLKA FNP” Practice Location

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