Individual
TYLER R TANZYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3009 N BALLAS RD STE 102B, SAINT LOUIS, MO 63131-2343
(314) 996-7080
(314) 996-7085
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023047204
MO
363L00000X
Nurse Practitioner
209023840
IL
363LF0000X
Family Nurse Practitioner
209023840
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2020
Last updated
09/19/2025
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