Tyler Jon Sutton, NP
Nurse Practitioner in Tacoma, WA. Individual provider (NPI-1).
NPI number1831824366
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1831824366
- Entity type
- Individual (NPI-1)
- Name
- Tyler Jon Sutton
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2022
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61366229 | WA | Yes |
| 163W00000X | Registered Nurse | RN60927034 | WA |
Practice location
1405 S Monroe StTacoma, WA 98405-1450
Phone 801-696-4551
Mailing address
1405 S Monroe StTacoma, WA 98405-1450
Phone 801-696-4551
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