Individual provider · Type 1 NPI
Kimberly Brennan Tyler, ANP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1427066976
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 200550020NP (OR) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 200540047RN (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1427066976
Kimberly Brennan Tyler, ANP's National Provider Identifier is 1427066976, issued on Aug 3, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Feb 3, 2010.