Individual provider · Type 1 NPI
Samantha Tyler
General Practice Registered Nurse · Cleveland, OH
NPI number
1609506401
Active
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 4704319524 (MI) |
General Practice Registered Nurse: Definition to come...
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About NPI 1609506401
Samantha Tyler's National Provider Identifier is 1609506401, issued on Jun 14, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Cleveland, OH. The record was last updated on Jun 14, 2022.