NPI 1700470101 · live from the CMS NPI Registry
Tyler Anderson, PA-C
Physician Assistant in Littleton, CO. National Provider Identifier 1700470101, active.
NPI record
| NPI | 1700470101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 7700 S Broadway, Littleton, CO 80122 |
| Practice phone | 800-828-0898 |
| Mailing address | 2781 S Newland St, Denver, CO 80227 |
| Enumerated | February 25, 2021 |
| Last updated | August 30, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant primary | 363A00000X | PA.0007470 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.