Individual
TYLER HOOFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3799
(509) 575-8000
Mailing address
2432 STOVER ST, FORT COLLINS, CO 80525-1851
(503) 754-5727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61057093
WA
367500000X
Certified Registered Nurse Anesthetist
C-APN.0001558-C-CRNA
CO
Other
Enumeration date
04/03/2019
Last updated
01/08/2021
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