Individual
VINCENT TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61299531
WA
363LP2300X
Primary Care Nurse Practitioner
11005143
FL
363LP2300X
Primary Care Nurse Practitioner
SPO13376
PA
Other
Enumeration date
11/06/2013
Last updated
02/06/2024
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