Individual
MR. TYSON RUNAKO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, MSN, AGNP-C
Contact information
Practice address
3636 GEORGIA AVE NW, WASHINGTON, DC 20010-1646
(202) 446-1100
(202) 204-0806
Mailing address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1530
(205) 930-0243
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
210126497
DC
Other
Enumeration date
10/06/2016
Last updated
07/12/2023
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