Wagner, Tylr Austin

Wagner, Tylr Austin is an individual health care provider with primary practice located at 1601 E 4Th Plain Blvd , Vancouver WA 98661-3713. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Wagner, Tylr Austin can be contacted via phone (360) 397-8488.

Contact Information

Primary practice address
1601 E 4Th Plain Blvd Vancouver WA 98661-3713
Phone: (360) 397-8488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201507408RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60776226 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201706858NP-PP Oregon

Profile Details

NPI number 1538261375
LBN Legal business name Wagner, Tylr Austin
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 2nd, 2017 - about 8 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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