NPI 1730642513

Tyler Lee Sturdivant, MSNRNAGCNSBC

Practitioner Clinical Nurse Specialist Mobile, AL

Practice location

Address: 5721 USA Drive North Hahn 4067, Mobile, AL 36688-0001
Phone: (251) 341-3007
Mailing address: 3305 Franklin CT, Mobile, AL 36618-4275

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 1-140692 (AL)

Other Clinical Nurse Specialist providers in Alabama →

Registry record

NPI: 1730642513
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2019
Record last updated: 9 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.