Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Djian-Luke Ty

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558210641

Djian-Luke Ty is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone: (702) 774-5134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558210641
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

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