Healthcare Provider Details

I. General information

NPI: 1881509172
Provider Name (Legal Business Name): TYLER BARNEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 W 800 N
OREM UT
84057-3658
US

IV. Provider business mailing address

640 W 800 N
OREM UT
84057-3658
US

V. Phone/Fax

Practice location:
  • Phone: 801-592-4537
  • Fax: 801-592-4537
Mailing address:
  • Phone: 801-592-4537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number79894363102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: