| Doctor Name: | ALFRED ALLEN TYLER |
| NPI Number: | 1215979315 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP30005082 |
| Business Practice Address: | 800 10th St Snohomish, WA - 982902131 |
| Business Phone Number: | 3605683161 |
| Business Fax Number: | |
| Mailing Address: | Po Box 431, MOUNT VERNON |
| State: | WA |
| Postal Code: | 982730431 |
| Phone Number: | 3607080234 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP30005082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |