Whalio Doctors

NPI 1003534694

Tyler Grant, RN

Practitioner Certified Registered Nurse Anesthetist Syracuse, NY

Practice location

Address
301 Prospect Ave, Syracuse, NY 13203-1807
Phone
(315) 448-5111
Mailing address
1305 Walt Whitman Rd STE 300, Melville, NY 11747-4300

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 688131 (NY)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 688131 (NY)

Registry record

NPI
1003534694
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Aug 2022
Record last updated
19 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.