Individual provider · Type 1 NPI
Tyson Andes
General Practice Registered Nurse · Queen Creek, AZ
NPI number
1376479097
Active
Practice location
22655 E Estrella Rd
Queen Creek, AZ 85142-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 293373 (AZ) |
General Practice Registered Nurse: Definition to come...
About NPI 1376479097
Tyson Andes's National Provider Identifier is 1376479097, issued on Jun 22, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Queen Creek, AZ. The record was last updated on Jun 22, 2026.