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Contact Information

TYLER A WILLIS, RN
3000 LANDERHOLM CIR SE
BELLEVUE, WA98007-6484
 Phone: 425-466-3781
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TYLER A WILLIS · (Male)

NPI Number 1205663069
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/16/2024
Last updated 09/16/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WA License # RN61080655
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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