Individual provider · Type 1 NPI

Tyler R. Tanzyus, FNP-BC

Nurse Practitioner · St. Louis, MO

NPI number 1245856657 Active

Practice location

3009 N Ballas Rd Ste 102B
St. Louis, MO 63131-2343

Call (314) 996-7080 Map

Fax (314) 996-7085

Mailing address

660 Mason Ridge Center Dr Ste 300
St. Louis, MO 63141-8512

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209023840 (IL)
Nurse Practitioner Primary 363L00000X2023047204 (MO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner 363LF0000X209023840 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245856657

Tyler R. Tanzyus, FNP-BC's National Provider Identifier is 1245856657, issued on Jun 22, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 19, 2025.