Robertson, Tyler L

Robertson, Tyler L is an individual health care provider with primary practice located at 1 Hospital Dr Sw , Huntsville AL 35801-6455. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Robertson, Tyler L can be contacted via phone (256) 429-5071.

Contact Information

Primary practice address
1 Hospital Dr Sw Huntsville AL 35801-6455
Phone: (256) 429-5071
Fax: (256) 429-4674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN16057 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN169321 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-113384 Alabama

Profile Details

NPI number 1124308473
LBN Legal business name Robertson, Tyler L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Sep 16th, 2013 - about 11 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 1124308473 NPPES
Tennessee Other 4306609 BCBS OF TN
Tennessee MEDICAID 133589 BCBS OF TN
Tennessee MEDICAID 003114495A BCBS OF TN

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