Individual provider · Type 1 NPI
Amanda Rose Tyler, ACNPC-AG
Acute Care Nurse Practitioner · Florence, SC
NPI number
1609538412
Active
Practice location
1594 Freedom Blvd Ste 100C
Florence, SC 29505-6046
Mailing address
970 Cardinal Cir
Florence, SC 29505-3014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 25169 (SC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1609538412
Amanda Rose Tyler, ACNPC-AG's National Provider Identifier is 1609538412, issued on Oct 8, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Florence, SC. The record was last updated on Oct 8, 2021.