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

MR. TYLER JOE FADORSEN, CRNP

Active

MR. TYLER JOE FADORSEN, CRNP is a Pediatric Nurse Practitioner healthcare provider located in HUNTSVILLE, Alabama. NPI 1912518861 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · HUNTSVILLE, AL

Registration Details

NPI Number
1912518861
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2020 (6.0308639337001 yrs)
Last Updated
Aug 10, 2023
Licenses
1-145198 (AL)
1-145198 (AL)

Practice Information

Address
245 GOVERNORS DR SE
HUNTSVILLE, AL, 358012700
Browse AL providers · Browse ZIP 35801
Phone
2562659889
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in HUNTSVILLE, AL

Name Credential NPI
DONNA MONTGOMERY BOGUS CRNP 1184760159
MRS. JENNIFER M CARWILE CRNP 1730307430
ELIZABETH ANNE WESSEL CRNP 1609070424
MRS. SHANNON NIXON CRNP 1720260276
MRS. BRANDI C ALLDREDGE CRNP 1952583494
KELLIE COPLIN ANDERSON CRNP 1720216906
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.