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Individual

MS. AMY LYNN TYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0109
(352) 265-0761
Mailing address
1600 SW ARCHER RD BOX 100109, GAINESVILLE, FL 32610-0109
(352) 265-0761

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9293452
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023160100
FL
Enumeration date
06/15/2017
Last updated
03/17/2018
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