Individual provider · Type 1 NPI
Tyler Joseph Doerr
Primary Care Nurse Practitioner · Lafayette, IN
NPI number
1730963133
Active
Practice location
3743 Landmark Dr Ste 200
Lafayette, IN 47905-6656
Mailing address
1098 Mount Vernon Ct
Greenwood, IN 46142-1854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28274312A (IN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 71015759A (IN) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1730963133
Tyler Joseph Doerr's National Provider Identifier is 1730963133, issued on Aug 24, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lafayette, IN. The record was last updated on Nov 4, 2024.