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

Tyler Hanson

Individual provider Registered Dietitian · NPI 1720818602

Tyler Hanson is a Registered Dietitian in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398
Phone: (623) 399-6825
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86293522 (AZ)

Record details

NPI number1720818602
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398

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