Individual
KASEY LEIGH TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2739 GALL BLVD, ZEPHYRHILLS, FL 33541-9701
(813) 782-5521
Mailing address
2739 GALL BLVD, ZEPHYRHILLS, FL 33541-9701
(813) 782-5521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020430
FL
Other
Enumeration date
07/04/2022
Last updated
10/26/2022
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