Individual provider · Type 1 NPI
Tyler W. Wichman, REGISTERED NURSE
Community Health Registered Nurse · San Diego, CA
NPI number
1669055570
Active
Practice location
480 Alta Rd
San Diego, CA 92179-0001
Mailing address
535 4th St
Imperial Beach, CA 91932-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 535868 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1669055570
Tyler W. Wichman, REGISTERED NURSE's National Provider Identifier is 1669055570, issued on Apr 29, 2021. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in San Diego, CA. The record was last updated on Apr 29, 2021.