Whitney, Tyler Daniel
Whitney, Tyler Daniel is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. He recently has 3 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 / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Whitney, Tyler Daniel can be contacted via phone (309) 624-2386.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 624-2386
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209.028088 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209028088 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 209.028088 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209.028088 | Illinois |
Profile Details
NPI number | 1356124986 |
---|---|
LBN Legal business name | Whitney, Tyler Daniel |
Credentials | DNP, APRN, ACNP-AG |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2023 |
Last updated | Oct 11th, 2023 - about last year |
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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