Individual provider · Type 1 NPI
Tyler Grisak, FNP-C
Family Nurse Practitioner · El Paso, TX
NPI number
1417347428
Active
Practice location
620 Hempstead Dr
El Paso, TX 79912-7030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP127339 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417347428
Tyler Grisak, FNP-C's National Provider Identifier is 1417347428, issued on Jan 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Paso, TX. The record was last updated on Jan 28, 2015.