Andrade, Tyler Ross

Andrade, Tyler Ross is an individual health care provider with primary practice located at 3970 Shimmering Plains St , Las Vegas NV 89129-4822. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Andrade, Tyler Ross can be contacted via phone (857) 880-7165.

Contact Information

Primary practice address
3970 Shimmering Plains St Las Vegas NV 89129-4822
Phone: (857) 880-7165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Nevada

Profile Details

NPI number 1679040505
LBN Legal business name Andrade, Tyler Ross
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2018
Last updated Oct 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679040505 NPPES
Nevada MEDICAID 00002289986

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