Tyler, Amanda Rose

Tyler, Amanda Rose is an individual health care provider with primary practice located at 1594 Freedom Blvd Ste 100C , Florence SC 29505-6046. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Tyler, Amanda Rose can be contacted via phone (843) 674-4787.

Contact Information

Primary practice address
1594 Freedom Blvd Ste 100C Florence SC 29505-6046
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 25169 South Carolina

Profile Details

NPI number 1609538412
LBN Legal business name Tyler, Amanda Rose
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2021
Last updated Oct 8th, 2021 - about 5 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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