Individual
TYLER JOHN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6101 S LOUISE AVE, SIOUX FALLS, SD 57108-5981
(605) 312-8000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001891
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001891
SOUTH DAKOTA BOARD OF NURSING LICENSE NUMBER
SD
01
—
F07202227
AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD
—
Enumeration date
11/27/2020
Last updated
03/31/2022
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