Healthcare Provider Details

I. General information

NPI: 1366372161
Provider Name (Legal Business Name): TYLER ALBEE FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 E UNION ST
MANTI UT
84642-1474
US

IV. Provider business mailing address

677 E UNION ST
MANTI UT
84642-1474
US

V. Phone/Fax

Practice location:
  • Phone: 435-851-3732
  • Fax:
Mailing address:
  • Phone: 435-851-3732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number11316539-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: