Individual provider · Type 1 NPI

Tyler Daniels

Student in an Organized Health Care Education/Training Program · Pueblo, CO

NPI number 1558065474 Active

Practice location

902 Lakeview Ave
Pueblo, CO 81004-3597

Call (719) 557-5855 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XTL.0009592 (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558065474

Tyler Daniels's National Provider Identifier is 1558065474, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pueblo, CO. The record was last updated on May 9, 2023.