Individual provider · Type 1 NPI
Tyler Edward Russell, APRN
Nurse Practitioner · Las Vegas, NV
Practice location
2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605
Fax (725) 910-0701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 817329 (NV) |
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 1497472591
Tyler Edward Russell, APRN's National Provider Identifier is 1497472591, issued on Oct 20, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 29, 2026.