Provider Demographics
NPI:1831954957
Name:ATWELL, TYLER WINKLER (FNP)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:WINKLER
Last Name:ATWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8096 TWIN BEECH RD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-7194
Mailing Address - Country:US
Mailing Address - Phone:251-278-6795
Mailing Address - Fax:
Practice Address - Street 1:8096 TWIN BEECH RD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-7194
Practice Address - Country:US
Practice Address - Phone:251-278-6795
Practice Address - Fax:251-210-0273
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-180636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily