Tyler Evans, Marcia Ellen

Tyler Evans, Marcia Ellen is an individual health care provider with primary practice located at 2130 Heritage Loop Rd , Paso Robles CA 93446-7800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tyler Evans, Marcia Ellen can be contacted via phone (805) 296-7819.

Contact Information

Primary practice address
2130 Heritage Loop Rd Paso Robles CA 93446-7800
Phone: (805) 296-7819
Fax: (805) 239-1278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16600 California

Profile Details

NPI number 1427117845
LBN Legal business name Tyler Evans, Marcia Ellen
Credentials MSN PHD RN FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 21st, 2022 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427117845 NPPES
California Other CB235423 MEDICARE ID

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