Tyler, Emily Elizabeth

Tyler, Emily Elizabeth is an sole proprietor health care provider with primary practice located at 2919 S Ellsworth Rd Ste 109 , Mesa AZ 85212-2165. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Tyler, Emily Elizabeth can be contacted via phone (480) 530-3411.

Contact Information

Primary practice address
2919 S Ellsworth Rd Ste 109 Mesa AZ 85212-2165
Phone: (480) 530-3411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TAP8250 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP8250 Arizona

Profile Details

NPI number 1548632623
LBN Legal business name Tyler, Emily Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Jul 6th, 2022 - about 3 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 1548632623 NPPES
Arizona MEDICAID 078775

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