Individual
TYRUN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 AMHURST ST, METAIRIE, LA 70003-4102
(225) 614-3331
Mailing address
6216 AMHURST ST, METAIRIE, LA 70003-4102
(225) 614-3331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200673
LA
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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