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:
Health care specialties
Specialty | Code | License # | 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 7 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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