# TITUS TJALAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487930871
- **Gender:** Man
- **Credential:** FNP-BC, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 234051 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10028304 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 234051 | AZ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 607851 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 815057 | NV | — |

## Other

- **Enumeration date:** 10/29/2011
- **Last updated:** 04/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 615761900 | DEEOIC HOME HEALTH CARE PROVIDER | AZ |