Individual
TYLER JON SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1405 S MONROE ST, TACOMA, WA 98405-1450
(801) 696-4551
Mailing address
1405 S MONROE ST, TACOMA, WA 98405-1450
(801) 696-4551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60927034
WA
363L00000X
Nurse Practitioner
Primary
AP61366229
WA
Other
Enumeration date
07/19/2022
Last updated
01/24/2023
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