Individual provider · Type 1 NPI

Maris Anne Tyler

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1801703673 Active

Practice location

529 Maple Ave
Los Angeles, CA 90013-1511

Mailing address

807 Lindaraxa Park N
Alhambra, CA 91801-2702

Specialties and licenses

TaxonomyCodeLicense
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 1801703673

Maris Anne Tyler's National Provider Identifier is 1801703673, issued on Aug 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2026.