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Individual
KATHRYN M TYNAN
Active
Individual
KATHRYN M TYNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200550137NP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
RN081159
AZ
363LG0600X
Gerontology Nurse Practitioner
200550138NP
OR
Other
Enumeration date
11/02/2005
Last updated
06/04/2021
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