Russell, Tyler Edward

Russell, Tyler Edward is an individual health care provider with primary practice located at 2725 S Jones Blvd Ste 109 , Las Vegas NV 89146-5605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Russell, Tyler Edward can be contacted via phone (702) 350-1477.

Contact Information

Primary practice address
2725 S Jones Blvd Ste 109 Las Vegas NV 89146-5605
Phone: (702) 350-1477
Fax: (725) 910-0701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 817329 Nevada

Profile Details

NPI number 1497472591
LBN Legal business name Russell, Tyler Edward
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2022
Last updated Jul 29th, 2026 - about 3 months 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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