NPI 1376479097 · live from the CMS NPI Registry
Tyson Andes
Registered Nurse, General Practice in Queen Creek, AZ. National Provider Identifier 1376479097, active.
NPI record
| NPI | 1376479097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 22655 E Estrella Rd, Queen Creek, AZ 85142 |
| Practice phone | 480-540-6183 |
| Enumerated | June 22, 2026 |
| Last updated | June 22, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 293373 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.