Individual
VIRGINIA CAMPBELL TYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,MS,CNS
Contact information
Practice address
232 HIGH HOUSE RD, CARY, NC 27513-4203
(919) 460-3370
(919) 460-3359
Mailing address
3329 HAWKINS AVE, SANFORD, NC 27330-6942
(919) 775-1659
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
100210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6004052
—
NC
Enumeration date
03/13/2007
Last updated
07/08/2007
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