Individual
MIMI TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 EXECUTIVE BLVD STE 700, NORTH BETHESDA, MD 20852-3885
(301) 392-7120
(301) 259-3820
Mailing address
4014 DIAMONDHEAD AVE, BOWIE, MD 20721-1308
(301) 828-5239
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024177697
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R180111
MD
Other
Enumeration date
06/12/2019
Last updated
02/03/2025
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