DIANE ELIZABETH TYLER NPI 1760150213

NPI Information

NPI: 1760150213
Provider Name: DIANE ELIZABETH TYLER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
516 S POKEGAMA AVE
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 327-2001
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Diane Elizabeth Tyler is a psychiatric/mental health nurse practitioner in Grand Rapids, MN with 3 years of experience. Diane Elizabeth Tyler NPI is 1760150213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 S POKEGAMA AVE
GRAND RAPIDS, MN
ZIP 55744-820
Phone: (218) 327-2001

The NPI 1760150213 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2021 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		8264	MINNESOTA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	8264	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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