| Tatum Tyler, DNAP, CRNA | |
|
2101 Box Butte Ave, Alliance, NE 69301-4444 | |
| (308) 762-6660 | |
| Not Available |
| Full Name | Tatum Tyler |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2101 Box Butte Ave, Alliance, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316630940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0998736 (Colorado) | Primary |
| Entity Name | The Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20040112000299 |
| Entity Name | Kremmling Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619962321 PECOS PAC ID: 7517871544 Enrollment ID: O20040312001110 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatum Tyler, DNAP, CRNA Po Box 2862, Winter Park, CO 80482-2862 Ph: (540) 525-8546 | Tatum Tyler, DNAP, CRNA 2101 Box Butte Ave, Alliance, NE 69301-4444 Ph: (308) 762-6660 |
Molly Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 | |
Mr. Charles A Frisch, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 Fax: 308-762-1923 | |
Ms. Lorraine A Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 Fax: 308-762-1923 |