Priscilla Korto A Tyler
Nurse Practitioner - Pediatrics
2509 Grove Ln
Trevose
, Pennsylvania 19053-6755
Priscilla Korto A Tyler
Nurse Practitioner - Pediatrics
2509 Grove Ln
Trevose
, Pennsylvania 19053-6755
(267) 401-4424
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Priscilla Korto A Tyler
- 2509 Grove Ln
- Trevose, PA
- Zip : 19053-6755
- Phone : (267) 401-4424
Second Address
- Priscilla Korto A Tyler
- 2509 Grove Ln
- Trevose, PA
- Zip : 19053-6755
- Phone : (267) 401-4424
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Is Priscilla Korto A Tyler a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | SP019672 | PA |
National Provider Identifier
| NPI | 1033674247 |
|---|---|
| Provider Name | Priscilla Korto A Tyler |
| First Address | Trevose, PA 19053-6755 |
| Second Address | Trevose, PA 19053-6755 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2019 |
| Last Update Date | 01/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.