Individual
SUSAN MARIE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 972-4301
Mailing address
4428 MARS AVE, HARRISBURG, PA 17112-9120
(717) 576-1787
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN294082L
PA
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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