Individual
TYLER EDWARD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2725 S JONES BLVD STE 109, LAS VEGAS, NV 89146-5605
(702) 350-1477
(725) 910-0701
Mailing address
2725 S JONES BLVD STE 109, LAS VEGAS, NV 89146-5605
(702) 350-1477
(725) 910-0701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
817329
NV
Other
Enumeration date
10/20/2022
Last updated
12/31/2025
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