Individual
TYSON THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
247574
AZ
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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