Ingrid Maria Tyson is a Family in Bandon, Oregon. Ingrid Maria Tyson practices all healthcare services and medical treatments related to Family. The NPI Number for Ingrid Maria Tyson is 1952354839. The last update date is 2023-03-07.
Ingrid Maria Tyson's current location address is 780 2nd St Se, Bandon, Oregon. You can contact this provider via phone number 5413472529 and fax number 5413479196. The mailing address for Ingrid Maria Tyson is 780 2nd St Se, Bandon, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid Maria Tyson |
|---|---|
| Address | 780 2nd St Se, Bandon, Oregon |
| Phone Number | 5413472529 |
| Fax Number | 5413479196 |
| Sole Proprietor | N |
| Credentials | MS FNP |
NPI Number Detail
| NPI Number | 1952354839 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 780 2nd St Se |
|---|---|
| City | Bandon |
| State | Oregon (OR) |
| Post Code | 974118354 |
| Phone Number | 5413472529 |
| Fax Number | 5413479196 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | CNP02197 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273956 | OR | -- | |
| 120353 | OR | MEDICARE GROUP PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ingrid Maria Tyson by the Centers for Medicare & Medicaid Services?
The Ingrid Maria Tyson has been issued the NPI (National Provider Identifier) 1952354839, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ingrid Maria Tyson's facilities are geographically located?
The facilities of Ingrid Maria Tyson are physically situated at the following location: 780 2Nd St Se, Bandon, OR, 974118354.
What is Ingrid Maria Tyson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ingrid Maria Tyson's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952354839 to Ingrid Maria Tyson?
The Centers for Medicare & Medicaid Services assigned the 1952354839 to Ingrid Maria Tyson on 2006-05-19.
As of what date were the details related to Ingrid Maria Tyson most recently updated or revised?
The information pertaining to Ingrid Maria Tyson, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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