Tyler Weber, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Individual provider (NPI-1).
NPI number1457056582
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1457056582
- Entity type
- Individual (NPI-1)
- Name
- Tyler Weber
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 28, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 289899 | AZ | Yes |
Practice location
2373 W Shackleton DrPhoenix, AZ 85086-2345
Phone 623-695-9641
Mailing address
2373 W Shackleton DrPhoenix, AZ 85086-2345
Phone 623-695-9641
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