Most Relevant Information
Provider Data
| NPI Number: | 1003202326 |
| Provider Name: | TYLENE LAW RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | R50878 |
Most Important Dates
| Enumeration Date: | 04/14/2015 |
| Last Updated: | 04/14/2015 |
Provider Practice Location
424 SAVANNAH RD
LEWES
DE
199581462
Practice Location Phone/Fax
| Phone: | 3026453300 |
| Fax: |
Provider Mailing Location
9101 WESTERN AVE
SUITE 101
OMAHA
NE
681142300
Provider Mailing Phone/Fax
| Phone: | 8666333548 |
| Fax: |