Nelson, Tyley R
Nelson, Tyley R is an individual health care provider with primary practice located at 300 E Jefferson St Ste 300, Boise ID 83712-6246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nelson, Tyley R can be contacted via phone (208) 381-4100.Contact Information
Primary practice address
300 E Jefferson St Ste 300
Boise ID 83712-6246
Phone: (208) 381-4100
Fax: (208) 381-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP602A | Idaho |
Profile Details
| NPI number | 1972552925 |
|---|---|
| LBN Legal business name | Nelson, Tyley R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Aug 19th, 2012 - about 12 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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