Provider Demographics
NPI:1306729512
Name:WOLFANGEL, TYLER GUY (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MR
First Name:TYLER
Middle Name:GUY
Last Name:WOLFANGEL
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 N 3RD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4336
Mailing Address - Country:US
Mailing Address - Phone:602-625-7944
Mailing Address - Fax:
Practice Address - Street 1:3326 N 3RD AVE STE 201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4336
Practice Address - Country:US
Practice Address - Phone:602-625-7944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9513392163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency