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Contact Information

TYLER ANDERSON
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA18711
 Phone: 570-808-7850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TYLER ANDERSON · (Male)

NPI Number 1679007033
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2017
Last updated 06/26/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RN626841
Hospital affiliation(s)
  • GEISINGER WYOMING VALLEY MEDICAL CENTER - (Acute Care)
    1000 EAST MOUNTAIN BOULEVARD
    WILKES BARRE, PA 18711
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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