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

Mr. Tyler W Wichman, REGISTEREDNURSE

Individual provider Community Health Registered Nurse · NPI 1669055570

Mr. Tyler W Wichman, REGISTEREDNURSE is a Community Health Registered Nurse in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

480 Alta Rd
San Diego, CA 92179-0001
Phone: (619) 661-6500
Show map & directions

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

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence 535868 (CA)

Record details

NPI number1669055570
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021

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