Miranda Tyler
Community Health Worker in Louisville, KY. Individual provider (NPI-1).
NPI number1366745697
StatusActive
Last updated in NPPESJan 22, 2013
Details
- NPI
- 1366745697
- Entity type
- Individual (NPI-1)
- Name
- Miranda Tyler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2010
- Last updated
- Jan 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
2817 Del Rio Pl#p5
Louisville, KY 40220-2340
Phone 503-589-8600 · Fax 502-589-8771
Mailing address
101 W Muhammad Ali BlvdLouisville, KY 40202-1423
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All 74 Community Health Worker providers in Louisville · All 27,512 providers in Louisville
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