Tyler Allen Brundridge

NPI #1134715071 in Edgewood, Kentucky

Provider Information

NPI Number
1134715071
Entity Type
Individual
Name
Tyler Allen Brundridge
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Dec 15, 2020
Last Updated
Jul 24, 2023

Practice Location

Address
1 MEDICAL VILLAGE DR
ZIP Code
41017-3403
Phone
(859) 301-9010

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Acute CareAcute Care
Nurse Practitioner

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