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Search › Pennsylvania › 363LA2100X

Tyler Fornwalt, NP

NPI 1457233173 · on the registry since 2025

Practice

Address
206 E Brown St
East Stroudsburg, PA 18301
Phone
(570) 421-4000
Organisation at this address
Pocono Medical Center
Pocono Medical Center
Pocono Medical Center
Pocono Medical Center
Pocono Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Additional practice sites

  • 181 E Brown St, East Stroudsburg, PA

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
163W00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania