TYLER GIBSON RN
NPI 1194406694
Registered Nurse - Psychiatric/Mental Health in Eureka, CA
Active since July 27, 2023
About Tyler Gibson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER GIBSON RN (NPI 1194406694) is an individual psychiatric/mental health provider in Eureka, California, licensed in California (95338777) and active in the NPI registry since July 2023.
NPPES Registry Identity
NPI1194406694
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameTYLER GIBSONCredential: RN
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address2923 W Bowman StMuncie, IN 47304-2542 · (765) 729-6532
Phone(707) 268-2990
Sole ProprietorYes
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 27, 2023
✔ NPI 1194406694 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 95338777
720 WOOD ST, Eureka, CA 95501
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194406694, enumerated as an "individual" on July 27, 2023.
The provider is located at 720 WOOD ST EUREKA, CA 95501 and the phone number is (707) 268-2990.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
