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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENISE TYLER

Active Sole Proprietor

DENISE TYLER is a Preferred Provider Organization healthcare provider located in PHILA, Pennsylvania. NPI 1194267682 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · PHILA, PA

Registration Details

NPI Number
1194267682
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2016 (9.7691127030271 yrs)
Last Updated
Nov 15, 2016
License
JI112924P6 (PA)
Sole Proprietor
Yes

Practice Information

Address
7919 FAYETTE ST
PHILA, PA, 191502103
Browse PA providers · Browse ZIP 19150
Phone
2674020108
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.