Individual
ANGELA FITZGERALD TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(704) 939-1100
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117347
NC
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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