| Tyler Stanley Aprn LLC | |
|
10 Commerce Street Unit A Glastonbury CT 06033 | |
| (860) 268-5717 | |
| Not Available |
| Full Name | Tyler Stanley Aprn LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10 Commerce Street, Glastonbury, Connecticut |
| Authorized Official Name and Position | Tyler Stanley (NURSE PRACTITIONER) |
| Authorized Official Contact | 8602685717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Stanley Aprn LLC 10 Commerce Street Unit A Glastonbury CT 06033 Ph: (860) 268-5717 | Tyler Stanley Aprn LLC 10 Commerce Street Unit A Glastonbury CT 06033 Ph: (860) 268-5717 |
| NPI Number | 1245000223 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245000223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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