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

Tyler Divis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043999105

Tyler Divis is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1001 Shadow Ln
Las Vegas, NV 89106-4124
Phone: (562) 292-6409
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 number1043999105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 16, 2023

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