Individual
VICTORIA KENNEDY TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
175 ADMIRAL COCHRANE DR STE 110, ANNAPOLIS, MD 21401
(410) 571-0888
(410) 571-0889
Mailing address
211 PROVIDENCE RD, ANNAPOLIS, MD 21409-6309
(240) 997-6124
(410) 757-3343
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R097928
MD
Other
Enumeration date
09/08/2010
Last updated
06/07/2018
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