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

Tyler Fanta, RN

Individual provider Registered Nurse · NPI 1518404391

Tyler Fanta, RN is a Registered Nurse in Cottage Grove, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

212 Weald Bridge Rd
Cottage Grove, WI 53527-9363
Phone: (608) 317-2830
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 171092-30 (WI)

Record details

NPI number1518404391
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 31, 2017
Last updated in NPPESJanuary 31, 2017

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