Tyler, Lea Ann

Tyler, Lea Ann is an individual health care provider with primary practice located at 931 E 32Nd St , Joplin MO 64804-2878. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tyler, Lea Ann can be contacted via phone (417) 347-4374.

Contact Information

Primary practice address
931 E 32Nd St Joplin MO 64804-2878
Phone: (417) 347-4374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2012039527 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2012039527 Missouri

Profile Details

NPI number 1710267539
LBN Legal business name Tyler, Lea Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Mar 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710267539 NPPES
Missouri MEDICAID 1710267539
Missouri MEDICAID 201011590A

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