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Individual

TYLER KRIVANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
10419 E WAVELENGTH AVE, MESA, AZ 85212-8771
(360) 609-4116

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN201792
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
303489
AZ

Other

Enumeration date
11/21/2023
Last updated
04/22/2024
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