Individual
MICHELLE TYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 S 48TH ST STE 800, LINCOLN, NE 68506-1200
(402) 483-8600
(402) 483-8689
Mailing address
1500 S 48TH ST STE 800, LINCOLN, NE 68506-1200
(402) 483-8600
(402) 483-8689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1215
NE
363AM0700X
Medical Physician Assistant
1215
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026945501
—
NE
Enumeration date
11/29/2005
Last updated
03/25/2025
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