Provider Demographics
NPI:1295008001
Name:TYLER, KATE FRANCES (NP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:FRANCES
Last Name:TYLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-1917
Mailing Address - Country:US
Mailing Address - Phone:850-526-2200
Mailing Address - Fax:
Practice Address - Street 1:4896A HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-7840
Practice Address - Country:US
Practice Address - Phone:850-526-6700
Practice Address - Fax:850-526-5021
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9264926363L00000X
FLAPRN9264926363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL136885Medicaid
FLY081HOtherBCBS OF FLORIDA
FL004608200Medicaid
AL593-08316OtherBCBS OF ALABAMA
AL593-08317OtherBCBS OF ALABAMA
AL593-08318OtherBCBS OF ALABAMA
FLY081HOtherBCBS OF FLORIDA