Tyler James Mcdaniel, RN, FNP-S is a
Registered Nurse based in La Grange, California. Tyler James Mcdaniel is licensed to practice in California (license number 95086201) and his current practice location is
14994 Avenida Central, La Grange, California. He can be reached at his office (for appointments etc.) via phone at
(209) 564-2964.
NPI number for Tyler James Mcdaniel is 1760271597 and his current mailing address is 14994 Avenida Central, La Grange, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760271597.
Provider's Profile
Full Name | Tyler James Mcdaniel |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 14994 Avenida Central, La Grange, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760271597
- Provider Enumeration Date: 05/06/2025
- Last Update Date: 05/06/2025
Medical Identifiers
Medical identifiers for Tyler James Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760271597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95086201 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler James Mcdaniel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyler James Mcdaniel, RN, FNP-S 14994 Avenida Central, La Grange, CA 95329-9795 Ph: (209) 564-2964 | Tyler James Mcdaniel, RN, FNP-S 14994 Avenida Central, La Grange, CA 95329-9795 Ph: (209) 564-2964 |
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