Individual provider · Type 1 NPI

Tyra L. Watson, RN

Ambulatory Care Registered Nurse · Fort Wayne, IN

NPI number 1891494787 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Fax (260) 421-1092

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X28119463A (IN)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1891494787

Tyra L. Watson, RN's National Provider Identifier is 1891494787, issued on Feb 28, 2023. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 28, 2023.