Individual provider · Type 1 NPI
Siah Grace Tyler, APN
Family Nurse Practitioner · Newark, NJ
NPI number
1649050964
Active
Practice location
14 Halleck St
Newark, NJ 07104-3504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ14851100 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1649050964
Siah Grace Tyler, APN's National Provider Identifier is 1649050964, issued on Oct 3, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newark, NJ. The record was last updated on Oct 3, 2023.