NPI Profile for TYLER A WILLIS in BELLEVUE, WA.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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TYLER A WILLIS
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