ADAM JAMES TYLER

SOUTH BEND, IN
NPI1174298764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71012584A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28220091A)
363LF0000X Nurse Practitioner, Family
(Licence: IN  2021085859)
Enumeration Date2021-08-16
Last Update Date2024-06-05
Business Address
ADAM JAMES TYLER APNP
53760 GENERATIONS DR
SOUTH BEND, IN 46635-1539
Phone number: 574-500-2010
Mailing Address
ADAM JAMES TYLER APNP
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 53226-4851
Phone number: 888-938-3838