TYLER DAVID HOLLINGSWORTH


Address: 2551a Pheasant Run, Wexford, PA 15090-7632
Phone: 8143306087

TYLER DAVID HOLLINGSWORTH (NPI# 1558900480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558900480
Entity Type Individual
Full Name TYLER DAVID HOLLINGSWORTH
Credential RN
Practice Address 2551a Pheasant Run
Wexford
PA 15090-7632
Practice Telephone 8143306087
Mailing Telephone 8143306087
Enumeration Date 2019-12-23
Last Update Date 2019-12-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN671520 PA Nursing Service Providers

Office Location

Street Address 2551A PHEASANT RUN
City WEXFORD
State PA
Zip Code 15090-7632

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City WEXFORD
Zip Code 15090

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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