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Avera Tyler
Family Nurse Practitioner in Ivanhoe, Minnesota
NPI 1063949089

Avera Tyler is a Family Nurse Practitioner based in Marshall, MN and is specialized in Family. Avera Tyler practices in Ivanhoe, MN. The NPI Number for Avera Tyler is 1063949089 and holds a License No. (Minnesota).

The current practice location address for Avera Tyler is 312 E George St, Ivanhoe, MN and can be reached out via phone at 507-694-1414.

Location: 312 E George St, Ivanhoe, MN, 56258-1934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063949089
Provider Name
Avera Tyler
Credential
Provider Entity Type
Organization
Address
312 E George St, Ivanhoe, MN, 56258-1934
Phone Number
507-694-1414
Fax Number
Provider Enumeration Date
05/22/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
312 E George St
City
Ivanhoe
State
Minnesota
Zip
56142-9707
Phone Number
507-694-1414
Fax Number
person
Provider Business Mailing Address Details
Address
312 E George St
City
Ivanhoe
State
Minnesota
Zip
56142-9707
Phone Number
507-694-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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