Individual provider · Type 1 NPI

Tyler Harrelson, PA-C

Physician Assistant · St. Charles, MO

NPI number 1417708223 Active

Practice location

711 Veterans Memorial Pkwy Ste 300
St. Charles, MO 63303-2106

Call (636) 669-2350 Map

Mailing address

PO Box 419052
St. Louis, MO 63141-9052

Other practice locations

  • 416 Old Smizer Mill Rd, Fenton, MO 63026-3553 · (314) 467-1590

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2024002456 (MO)

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…

19 other providers at this address

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About NPI 1417708223

Tyler Harrelson, PA-C's National Provider Identifier is 1417708223, issued on Mar 29, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Charles, MO. The record was last updated on Apr 7, 2026.