Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tyler T Dewhurst, APRN

Individual provider Nurse Practitioner · NPI 1336153386

Mr. Tyler T Dewhurst, APRN is a Nurse Practitioner in South Windsor, Connecticut. Qualified in 2000, 26 years ago. Practices with Impact Health PC, a 79-clinician group and offers telehealth. Licensed in Connecticut and Florida.

Years since qualifying
26
Licensed in
CT, FL
In the registry since
2006
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

216 Hemlock Ave
South Windsor, CT 06074-9606
Phone: (860) 471-8030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3829 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence 3829 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP3124292 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 003829 (CT)

Record details

NPI number1336153386
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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