NPI Registry.org

Alyssa Mae Tyler

NPI Registration Record

Provider / OrganizationNPIDate Certified
ALYSSA MAE TYLER10537833402021-10-10

Alyssa Mae Tyler [F] graduated in 2015 and primarily specializes in Physician Assistant.

Alyssa Mae Tyler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053783340. Registration indicates Alyssa Mae Tyler is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

PECOS ID8628388626
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Alyssa Mae Tyler PA-C
Other Provider Name Alyssa M Johnson
Practice Office Address13400 E SHEA BLVD
SCOTTSDALE, AZ US
Practice Office Telephone4803018000
Mailing Address13400 E SHEA BLVD
SCOTTSDALE, AZ 852595452 US
Business Telephone4803018000
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
6238
AZ
OPI Codes
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