Provider Demographics
NPI:1457810954
Name:FYLER, TIFFANY ANNETTE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ANNETTE
Last Name:FYLER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MISS
Other - First Name:TIFFANY
Other - Middle Name:ANNETTE
Other - Last Name:WHITEHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:550 N HILLSIDE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4976
Mailing Address - Country:US
Mailing Address - Phone:316-962-2000
Mailing Address - Fax:
Practice Address - Street 1:550 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4976
Practice Address - Country:US
Practice Address - Phone:316-962-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS116072163W00000X
KS79681363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163W00000XNursing Service ProvidersRegistered Nurse