MR. TYLER LEE STURDIVANT


Address: 5721 Usa Drive North Hahn 4067, Mobile, AL 36688-0001
Phone: 2513413007

MR. TYLER LEE STURDIVANT (NPI# 1730642513) 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) 1730642513
Entity Type Individual
Full Name MR. TYLER LEE STURDIVANT
Credential MSN, RN, AGCNS-BC
Practice Address 5721 Usa Drive North Hahn 4067
Mobile
AL 36688-0001
Mailing Address 3305 Franklin Ct
Mobile
AL 36618-4275
Practice Telephone 2513413007
Mailing Telephone 3344569747
Enumeration Date 2019-04-09
Last Update Date 2019-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist 1-140692 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5721 USA DRIVE NORTH HAHN 4067
City MOBILE
State AL
Zip Code 36688-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144742453 David Thomas Bailey Physician Assistant Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 2017-07-10
1447783766 Elijah Fox Student in an Organized Health Care Education/Training Program 1700 Center St., Cweb 1, Room 1538, Mobile, AL 36688 2017-04-04
1164855805 Khaled Abdelmagid Student in an Organized Health Care Education/Training Program 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36688 2013-08-16
1154614428 Karen Marlowe Pharmacist 650 Clinic Drive - Suite 2100, Mobile, AL 36688 2011-05-19
1770620239 Claude Vincent Dwyer IIi Radiologic Technologist 307 University, Mobile, AL 36688 2007-01-31
1225661523 Jacob Rosner Student in an Organized Health Care Education/Training Program 5795 Usa Drive North Csab 170, Mobile, AL 36688-0001 2020-02-15
1215569249 Lisa K. Morris Nurse Practitioner 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 2020-02-07
1467014019 Victoria Suzanne Henbest Speech-Language Pathologist 5721 Usa North Drive, Mobile, AL 36688-0001 2019-07-03
1730648346 Laboratory Corporation of America Holdings Clinical Medical Laboratory 5870 Alumni Drive, Mobile, AL 36688-0001 2019-03-14
1780155374 Michael Hlavaty Specialist/Technologist 591 Joseph E Gottfriend Dr, Mobile, AL 36688-0001 2018-12-08
Find all providers in zip 36688

Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891278354 Debra Phillips Clinical Nurse Specialist 300 Twining St, Montgomery, AL 36112-6027 2018-09-11

Competitor

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City MOBILE
Zip Code 36688

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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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