TYLER MAXWELL - NPI 1821548470 - Student in an Organized Health Care Education/Training Program in Port Murray, NJ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Tyler Maxwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER MAXWELL (NPI 1821548470) is an individual student in an organized health care education/training program in Port Murray, New Jersey and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1821548470

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER MAXWELL

Location Address1063 ANDERSON RDPort Murray, NJ 07865-5314

Mailing Address1063 Anderson RdPort Murray, NJ 07865-5314 · (908) 455-0672

Phone(908) 455-0672

Sole ProprietorYes

Enumeration DateOctober 6, 2016

✔ NPI 1821548470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1063 ANDERSON RD, Port Murray, NJ 07865

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Frequently Asked Questions

What is Tyler Maxwell's NPI number?

The NPI number assigned to this healthcare provider is 1821548470, enumerated as an "individual" on October 06, 2016.

Where is the provider located?

The provider is located at 1063 ANDERSON RD PORT MURRAY, NJ 07865 and the phone number is (908) 455-0672.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.