Individual provider · Type 1 NPI

Tyler Fornwalt, NP

Acute Care Nurse Practitioner · East Stroudsburg, PA

NPI number 1457233173 Active

Practice location

206 E Brown St
East Stroudsburg, PA 18301-3006

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Other practice locations

  • 181 E Brown St, East Stroudsburg, PA 18301-3004 · (570) 421-3493

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN724363 (PA)
Acute Care Nurse Practitioner Primary 363LA2100XSP033949 (PA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1457233173

Tyler Fornwalt, NP's National Provider Identifier is 1457233173, issued on Jul 23, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in East Stroudsburg, PA. The record was last updated on Oct 8, 2025.