Tyler William Randall
Tyler William Randall is a Nurse Practitioner in Canon City, Colorado. Qualified in 2019, 7 years ago. Practices with Fhpg LLC, a 197-clinician group and accepts Medicare assignment. Licensed in Colorado and Washington.
- Years since qualifying
- 7
- Licensed in
- CO, WA
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
1338 Phay AveCanon City, CO 81212-2311
Phone: (719) 285-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence APN.0994692-NP (CO) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence AP61177225 (WA) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence AP61177225 (WA) |
Record details
| NPI number | 1780241794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2019 |
| Last updated in NPPES | June 19, 2024 |
| Certification date | June 19, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Fhpg Llc — 197 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Canon City
-
Colorado Em-I Medical Services, PC
1338 Phay Ave, Canon City, CO 81212-2302 · (719) 285-2000
-
Mrs. Susan Katherine Frady, FNP
715 S 9th St, Canon City, CO 81212-4911 · (719) 269-8820
-
King Assessments PLLC
122 Yale Pl, Canon City, CO 81212-3551 · (719) 458-9445
-
Kathleen R Kopacz, NP
715 S 9th St, Canon City, CO 81212-4911 · (719) 269-8820
-
MS. Shirley Ann Sawyer, NP
3245 E US Highway 50 Unit E, Canon City, CO 81212-9343 · (719) 285-2888
-
Leah Thompson, NP
113 Latigo Ln Ste D, Canon City, CO 81212-8115 · (719) 371-0000