Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JOHN LONGSTREET
ActiveTYLER JOHN LONGSTREET is a Physician Assistant healthcare provider located in WILKES BARRE, Pennsylvania. NPI 1124539044 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILKES BARRE, PA
Registration Details
- NPI Number
- 1124539044
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2017 (8.8079478437023 yrs)
- Last Updated
- May 10, 2022
- Licenses
-
MA059462 (PA)MA059462 (PA)
Practice Information
- Address
-
25 CHURCH STWILKES BARRE, PA, 187023507Browse PA providers · Browse ZIP 18702
- Phone
- 5708083100
- Fax
- 5708082539
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WILKES BARRE, PA
| Name | Credential | NPI |
|---|---|---|
| JESSICA MANZOLILLO | PAC | 1174504468 |
| MRS. LISA M MATTEI | PAC | 1902889629 |
| MS. DEBORAH BAIRD | PA-C | 1477527356 |
| NANCY HIXSON | PA | 1235105560 |
| MARY M AZAREWICZ | PA-C | 1518933662 |
| ELIZABETH A HREHA | PA | 1689643413 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.