Bagley, Tyler James

Bagley, Tyler James is an sole proprietor health care provider with primary practice located at 661 W Via De Palmas , San Tan Valley AZ 85140-7381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bagley, Tyler James can be contacted via phone (530) 868-7509.

Contact Information

Primary practice address
661 W Via De Palmas San Tan Valley AZ 85140-7381
Phone: (530) 868-7509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95000079 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 249724 Arizona

Profile Details

NPI number 1447590401
LBN Legal business name Bagley, Tyler James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2013
Last updated May 31st, 2024 - about last year

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 1447590401 NPPES
Arizona Other 249724 ARIZONA

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