IndividualActive
Antonae Tyler
NPI 1174344162 · Personal Care Attendant · Oxon Hill, MD
Provider details
- NPI number
- 1174344162
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- T460067578077 (MD)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1402 Iverson St Apt 203
Oxon Hill, MD 20745-3903
Phone: (240) 935-3187
Approximate (ZIP-level) locationGet directions
Mailing address
1402 Iverson St Apt 203
Oxon Hill, MD 20745-3903
Registry dates
- Enumerated
- 2024-10-22
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.