Fadorsen, Tyler Joe

Fadorsen, Tyler Joe is an individual health care provider with primary practice located at 245 Governors Dr Se , Huntsville AL 35801-2700. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Fadorsen, Tyler Joe can be contacted via phone (256) 265-9889.

Contact Information

Primary practice address
245 Governors Dr Se Huntsville AL 35801-2700
Phone: (256) 265-9889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 1-145198 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-145198 Alabama

Profile Details

NPI number 1912518861
LBN Legal business name Fadorsen, Tyler Joe
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2020
Last updated Aug 10th, 2023 - 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.

Request for update

Popular Providers