IndividualActive
Denise Tyler
NPI 1194267682 · Preferred Provider Organization · Phila, PA
Provider details
- NPI number
- 1194267682
- Entity type
- Individual
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
- License
- JI112924P6 (PA)
Mailing address
7919 Fayette St
Phila, PA 19150-2103
Registry dates
- Enumerated
- 2016-11-15
- Last updated
- 2016-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.