MRS. ANGELA DIAHANN TYLER NPI 1720625213

NPI Information

  • NPI: 1720625213
  • Provider Name: MRS. ANGELA DIAHANN TYLER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 GOLDER AVE
    ODESSA, TX
    ZIP 79761
  • Phone: (432) 580-8000

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NPI Details

MRS. Angela Diahann Tyler is a family nurse practitioner in Odessa, TX. MRS. Angela Diahann Tyler NPI is 1720625213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 GOLDER AVE
ODESSA, TX
ZIP 79761-412
Phone: (432) 580-8000
Fax: (432) 332-9677

The NPI 1720625213 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2019 and was last updated on 5/27/2025.

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
1363LF0000XNurse PractitionerFamilyAP143184TEXASYes

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: 11/21/2025

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