DR. TYLER WILLIS DNP NP NPI 1689340515

NPI Information

NPI: 1689340515
Provider Name: DR. TYLER WILLIS, DNP, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
121 N MAIN ST
COUPEVILLE, WA
ZIP 98239
Phone: (360) 678-5151
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DR. Tyler Willis, DNP, NP is an acute care nurse practitioner in Coupeville, WA. DR. Tyler Willis, DNP, NP NPI is 1689340515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

121 N MAIN ST
COUPEVILLE, WA
ZIP 98239
Phone: (360) 678-5151

The NPI 1689340515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 4/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP61540212	WASHINGTON	No
2	363LA2100X	Nurse Practitioner	Acute Care	29874	TENNESSEE	No
3	363LA2100X	Nurse Practitioner	Acute Care	AP61540212	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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