Healthcare Provider Details

I. General information

NPI: 1144606146
Provider Name (Legal Business Name): TYLER CHRISTENSEN ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2015
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 PLAZA WAY
KENNEWICK WA
99338-2722
US

IV. Provider business mailing address

3810 PLAZA WAY
KENNEWICK WA
99338-2722
US

V. Phone/Fax

Practice location:
  • Phone: 509-221-7000
  • Fax: 509-221-5551
Mailing address:
  • Phone: 509-221-7000
  • Fax: 509-221-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60577040
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: