Active NPIIndividual provider

Mr. Tyler T Dewhurst, APRN

Nurse Practitioner, Family in South Windsor, Connecticut

NPI Number1336153386
Practice location
216 Hemlock Ave, South Windsor, CT 06074-9606
Fax
—
Last updated
June 22, 2021

Tyler T Dewhurst is a Nurse Practitioner, Family based in South Windsor, CT. Tyler T Dewhurst practices in South Windsor, CT and has the professional credentials of APRN. The NPI Number for Tyler T Dewhurst is 1336153386 and holds a License No. 3829 (CT). The current practice location address for Tyler T Dewhurst is 216 Hemlock Ave, South Windsor, CT 06074-9606 and can be reached out via phone at 860-471-8030.

Provider Profile Details

NPI Number
1336153386
Provider Name
Tyler T Dewhurst
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
216 Hemlock Ave, South Windsor, CT 06074-9606
Phone Number
860-471-8030
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2006
Last Update Date
June 22, 2021
Certification Date
June 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
216 Hemlock Ave
South Windsor, CT 06074-9606
Zip
06074-9606
Phone Number
860-471-8030
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
65 Maple Drive
Twin Mountain, NH 03595
City
Twin Mountain
State
NH
Zip
03595
Phone Number
603-915-3396

License Information

License Number (1)
3829
License State (1)
CT
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
ARNP3124292
License State (2)
FL
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
003829
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (4)
3829
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Tyler T Dewhurst, APRN?

The NPI number of Mr. Tyler T Dewhurst, APRN is 1336153386. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Tyler T Dewhurst, APRN?

Mr. Tyler T Dewhurst, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 3829.

Where does Mr. Tyler T Dewhurst, APRN practice?

The practice location is 216 Hemlock Ave, South Windsor, CT 06074-9606. The office can be reached at 860-471-8030 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336153386 directly on the NPPES registry website.

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