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

Tyler Marshall, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1114379690

Tyler Marshall, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Farmington, New Mexico. Qualified in 2016, 10 years ago. Practices with Anesthesia Associates of Coeur D Alene PLLC, a 58-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
10
Licensed in
NM
In the registry since
2016
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-6648
Fax: (505) 609-2259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA-01419 (NM)

Record details

NPI number1114379690
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESAugust 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anesthesia Associates Of Coeur D Alene Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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