Individual provider · Type 1 NPI

Tyler Ashley Sullivan, PA-C

Physician Assistant · Newtown, PA

NPI number 1760917207 Active

Practice location

101 Pheasant Run
Newtown, PA 18940-1820

Fax (267) 479-1321

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA063056 (PA)

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 1760917207

Tyler Ashley Sullivan, PA-C's National Provider Identifier is 1760917207, issued on Apr 21, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newtown, PA. The record was last updated on Jun 27, 2025.