MR. TYLER W WICHMAN REGISTERED NURSE
NPI 1669055570
Registered Nurse - Community Health in San Diego, CA
Active since April 29, 2021
About Mr. Tyler W Wichman Registered Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TYLER W WICHMAN REGISTERED NURSE (NPI 1669055570) is an individual community health provider in San Diego, California, licensed in California (535868) and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1669055570
Entity TypeIndividualMale
Primary Taxonomy163WC1500X
Provider Legal NameMR. TYLER W WICHMANCredential: REGISTERED NURSE
Location Address480 ALTA RDSan Diego, CA 92179-0001
Mailing Address535 4th StImperial Beach, CA 91932-1201 · (619) 646-4109
Phone(619) 661-6500
Sole ProprietorNo
Enumeration DateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1669055570 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in CA · 535868
480 ALTA RD, San Diego, CA 92179
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Nurse Practitioner (Family)
480 ALTA RD
SAN DIEGO, CA 92179
SAN DIEGO, CA 92179
Dentist
480 ALTA RD, RICHARD J. DONOVAN CORRECTIONAL FACILITY
SAN DIEGO, CA 92179
SAN DIEGO, CA 92179
Psychiatry & Neurology (Psychiatry)
480 ALTA RD, RICHARD J DONOVAN CORRECTIONAL FACILITY MEDICAL DEPT
SAN DIEGO, CA 92179
SAN DIEGO, CA 92179
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669055570, enumerated as an "individual" on April 29, 2021.
The provider is located at 480 ALTA RD SAN DIEGO, CA 92179 and the phone number is (619) 661-6500.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.
