Individual
TYLER ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10011 J ST, OMAHA, NE 68127-1106
(402) 896-9988
(402) 896-6111
Mailing address
6306 SEWARD ST, OMAHA, NE 68104-4762
(402) 321-3982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75641
NE
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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