Individual
MR. CRAIG ALLEN TYSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
860 GREENBRIER CIR, SUITE 100, CHESAPEAKE, VA 23320-2640
(757) 547-9007
(757) 548-1928
Mailing address
860 GREENBRIER CIR, SUITE 100, CHESAPEAKE, VA 23320-2640
(757) 547-9007
(757) 548-1928
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024169876
VA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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