IndividualActive
Tyler Willis, RN
NPI 1205663069 · Critical Care Medicine Registered Nurse · Bellevue, WA
Provider details
- NPI number
- 1205663069
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN61080655 (WA)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
3000 Landerholm Cir Se
Bellevue, WA 98007-6484
Phone: (425) 466-3781
Approximate (ZIP-level) locationGet directions
Mailing address
11453 69th Pl S
Seattle, WA 98178-3002
Additional practice locations (1)
- 11453 69th Pl SSeattle, WA 98178-3002Phone: (425) 466-3781
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.