Individual
RONALD LEE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
3333 BURNET AVENUE, ML 3014, CINCINNATI, OH 45229
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVENUE, ML 3014, CINCINNATI, OH 45229
(513) 636-4788
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA11915NP
OH
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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