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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER JOHN HALSTEAD, PA-C

Active Sole Proprietor

TYLER JOHN HALSTEAD, PA-C is a Physician Assistant healthcare provider located in NITRO, West Virginia. NPI 1730725151 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NITRO, WV

Registration Details

NPI Number
1730725151
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2019 (6.5492533644563 yrs)
Last Updated
Sep 19, 2022
License
826 (WV)
Sole Proprietor
Yes

Practice Information

Address
4111 1ST AVE STE 3
NITRO, WV, 251431345
Browse WV providers · Browse ZIP 25143
Phone
3047554797
Fax
3047554799
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NITRO, WV

Name Credential NPI
JOANNA B. STOVER PA 1700824661
ABIGAIL RENEE GRANT 1912539628
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.