Search › Pennsylvania › 363LA2100X
Tyler Walter, CRNP
NPI 1609545078 · on the registry since 2021
Practice
- Address
- 100 E Lancaster Ave
Wynnewood, PA 19096 - Phone
- (484) 476-2000
- Organisation at this address
- Gary Gordon
Walgreen Co.
Donald J Corey
Ling Associates
P&K Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 919
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163WC0200X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-15
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