Tynan, Victoria A

Tynan, Victoria A is an individual health care provider with primary practice located at 6700 S Lyon Dr , Gilbert AZ 85298-4276. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tynan, Victoria A can be contacted via phone (928) 581-9684.

Contact Information

Primary practice address
6700 S Lyon Dr Gilbert AZ 85298-4276
Phone: (928) 581-9684
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 14662 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3947 Arizona

Profile Details

NPI number 1891773164
LBN Legal business name Tynan, Victoria A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Sep 25th, 2025 - about last year

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 1891773164 NPPES
Arizona MEDICAID 614020

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