Individual provider · Type 1 NPI

Angela Tyner, R.N.

General Practice Registered Nurse · Orange Park, FL

NPI number 1043561467 Active

Practice location

2712 Tyler Ct
Orange Park, FL 32065-7676

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XRN 9340040 (FL)
General Practice Registered Nurse 163WG0000X1-091820 (AL)

General Practice Registered Nurse: Definition to come...

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About NPI 1043561467

Angela Tyner, R.N.'s National Provider Identifier is 1043561467, issued on Sep 25, 2012. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Orange Park, FL. The record was last updated on Sep 25, 2012.