Individual provider · Type 1 NPI

Tyler John Halstead, PA-C

Physician Assistant · Nitro, WV

NPI number 1730725151 Active

Practice location

4111 1st Ave Ste 3
Nitro, WV 25143-1345

Fax (304) 755-4799

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X826 (WV)

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…

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About NPI 1730725151

Tyler John Halstead, PA-C's National Provider Identifier is 1730725151, issued on Nov 20, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nitro, WV. The record was last updated on Mar 30, 2026.