Most Relevant Information
Provider Data
| NPI Number: | 1003450867 |
| Provider Name: | TYLER BISHOP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1-164190 |
Most Important Dates
| Enumeration Date: | 11/04/2019 |
| Last Updated: | 11/04/2019 |
Provider Practice Location
1802 6TH AVE S
BIRMINGHAM
AL
352331932
Practice Location Phone/Fax
| Phone: | 2564906381 |
| Fax: |
Provider Mailing Location
1802 6TH AVE S
BIRMINGHAM
AL
352331932
Provider Mailing Phone/Fax
| Phone: | 2564906381 |
| Fax: |