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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN724363 (PA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP033949 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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Other acute care nurse practitioner providers in East Stroudsburg
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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.