MEDICARE: TYLER HOBBS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	88800784405	UT

General Provider Information

NPI Number	:	1528542644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER HOBBS FNP

Provider Business Mailing Address
First Line	:	1152 E 350 N
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84097-5032
Country	:	US
Telephone Number	:	801-319-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 N UNIVERSITY AVE
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6656
Country	:	US
Telephone Number	:	801-818-1940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	09/25/2018

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