Provider Demographics
NPI:1225706286
Name:AMAN, TYLER KIMSEY (PMHNP)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:KIMSEY
Last Name:AMAN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W BASELINE RD STE 105A
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5349
Mailing Address - Country:US
Mailing Address - Phone:602-738-0556
Mailing Address - Fax:602-783-8804
Practice Address - Street 1:401 W BASELINE RD STE 105A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5349
Practice Address - Country:US
Practice Address - Phone:602-738-0556
Practice Address - Fax:602-783-8804
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ263468364SP0813X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0813XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, GeropsychiatricGroup - Single Specialty