Individual
TYREL JAN BECKSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9127 W RUSSELL RD, LAS VEGAS, NV 89148-1240
(702) 878-0070
Mailing address
139 COVENTRY DR, HENDERSON, NV 89074-2728
(435) 660-1502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
824547
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824547
NEVADA STATE BOARD OF NURSING
NV
Enumeration date
10/03/2019
Last updated
10/03/2019
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