Tyson Andes
Individual provider Active NPI General Practice Registered Nurse · Queen Creek, AZ
NPI 1376479097 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1376479097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 293373 (AZ)
- Practice address
- 22655 E Estrella Rd
Queen Creek, AZ 85142-2002 - Phone
- (480) 540-6183
- NPI assigned
- Jun 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 293373 | AZ | Yes |
Addresses
Primary practice location
22655 E Estrella Rd
Queen Creek, AZ 85142-2002
Mailing address
22655 E Estrella Rd
Queen Creek, AZ 85142-2002
Phone (480) 540-6183
Other providers in Queen Creek, AZ
- American Leadership Academy, Inc.
- Adelaide Amini
- Ji Hyun An
- Kristen Anderson
- Weston Tucker Anderson
- Christopher Andrus
- Angelic Homes LLC
- Angels of Hope Behavioral Health Residential Agency
- Apex Surgical Assisting LLC
- April Cole, RN
All providers in Queen Creek, AZ · General Practice Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.