Provider Demographics
NPI:1407360142
Name:TYLER, PATRICIA I (RN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:I
Last Name:TYLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-1704
Mailing Address - Country:US
Mailing Address - Phone:484-719-0041
Mailing Address - Fax:
Practice Address - Street 1:426 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-1704
Practice Address - Country:US
Practice Address - Phone:484-719-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN620971163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse