Alisha Tyson
Nurse Practitioner, Family in West Haven, Connecticut
1508624933- Practice location
- 511 Main St Apt G13, West Haven, CT 06516-4260
- Phone
- 203-707-4612
- Fax
- —
- Last updated
- March 11, 2024
Alisha Tyson is a Nurse Practitioner, Family based in West Haven, CT. Alisha Tyson practices in West Haven, CT. The NPI Number for Alisha Tyson is 1508624933 and holds a License No. 12946 (CT). The current practice location address for Alisha Tyson is 511 Main St Apt G13, West Haven, CT 06516-4260 and can be reached out via phone at 203-707-4612.
Provider Profile Details
- NPI Number
- 1508624933
- Provider Name
- Alisha Tyson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 511 Main St Apt G13, West Haven, CT 06516-4260
- Phone Number
- 203-707-4612
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 11, 2024
- Last Update Date
- March 11, 2024
- Certification Date
- March 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 511 Main St Apt G13
West Haven, CT 06516-4260 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-4260
- Phone Number
- 203-707-4612
Provider Business Mailing Address Details
- Address
- Po Box 4043
Hamden, CT 06514-0043 - City
- Hamden
- State
- CT
- Zip
- 06514-0043
- Phone Number
- 203-707-4612
License Information
- License Number
- 12946
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alisha Tyson?
The NPI number of Alisha Tyson is 1508624933. It was assigned on March 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Alisha Tyson?
Alisha Tyson is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12946.
Where does Alisha Tyson practice?
The practice location is 511 Main St Apt G13, West Haven, CT 06516-4260. The office can be reached at 203-707-4612 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508624933 directly on the NPPES registry website.