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NPI Code Detail

MEDICARE: MRS. HOLLIE MAE TYLER FNP-C

MEDICARE:  MRS. HOLLIE MAE TYLER  FNP-C
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 PractitionerAPN001251NV

General Provider Information

NPI Number : 1518261858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLIE MAE TYLER FNP-C
Provider Business Mailing Address
First Line : 500 N RAINBOW BLVD
Second Line : SUITE 203
City : LAS VEGAS
State : NV
Zip : 89107-1082
Country : US
Telephone Number : 702-259-1228
Fax Number :
Provider Business Practice Location Address
First Line : 2075 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5188
Country : US
Telephone Number : 702-259-1228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2010
Last Update Date : 04/22/2014

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Directions to “ MRS. HOLLIE MAE TYLER FNP-C” Practice Location

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