Tyler, Diane Elizabeth

Tyler, Diane Elizabeth is an individual health care provider with primary practice located at 516 S Pokegama Ave , Grand Rapids MN 55744-3820. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tyler, Diane Elizabeth can be contacted via phone (218) 327-2001.

Contact Information

Primary practice address
516 S Pokegama Ave Grand Rapids MN 55744-3820
Phone: (218) 327-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8264 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8264 Minnesota

Profile Details

NPI number 1760150213
LBN Legal business name Tyler, Diane Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Aug 31st, 2021 - about 3 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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