| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALYSSA MAE TYLER | 1053783340 | 2021-11-29 |
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 ID | 8628388626 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Alyssa Mae Tyler PA-C |
| Other Provider Name | Alyssa M Johnson |
| Practice Office Address | 13400 E SHEA BLVD SCOTTSDALE, AZ US |
| Practice Office Telephone | 4803018000 |
| Mailing Address | 13400 E SHEA BLVD SCOTTSDALE, AZ 852595452 US |
| Business Telephone | 4803018000 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access 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 |