Individual
COLLEEN R TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7316
Mailing address
2157 COUNTY ROAD 220, CHEYENNE, WY 82009-9197
(307) 630-5884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11323.1067
WY
Other
Enumeration date
08/18/2006
Last updated
10/21/2010
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