Individual provider · Type 1 NPI

Tyler John Longstreet

Physician Assistant · Wilkes Barre, PA

NPI number 1124539044 Active

Practice location

25 Church St
Wilkes Barre, PA 18702-3507

Call (570) 808-3100 Map

Fax (570) 808-2539

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Other practice locations

  • 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 · (570) 808-7300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA059462 (PA)
Physician Assistant Primary 363A00000XMA059462 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124539044

Tyler John Longstreet's National Provider Identifier is 1124539044, issued on Oct 18, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on May 10, 2022.