Individual
TYSON ANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22655 E ESTRELLA RD, QUEEN CREEK, AZ 85142-2002
(480) 540-6183
Mailing address
22655 E ESTRELLA RD, QUEEN CREEK, AZ 85142-2002
(480) 540-6183
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
293373
AZ
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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