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Kathryn M Tynan, NP
Gerontology Nurse Practitioner in Cypress, California
NPI 1508857095

Kathryn M Tynan is a Gerontology Nurse Practitioner based in Tucson, CA and is specialized in Gerontology. Kathryn M Tynan practices in Cypress, CA and has the professional credentials of NP. The NPI Number for Kathryn M Tynan is 1508857095 and holds a License No. RN081159 (California).

The current practice location address for Kathryn M Tynan is 5757 Plaza Dr, Cypress, CA and can be reached out via phone at 763-361-7002.

Location: 5757 Plaza Dr, Cypress, CA, 85749-9707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508857095
Provider Name
Kathryn M Tynan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5757 Plaza Dr, Cypress, CA, 85749-9707
Phone Number
763-361-7002
Fax Number
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
440777 05 AZ
institution
Provider Business Practice Location Address Details
Address
5757 Plaza Dr
City
Cypress
State
California
Zip
90630-5000
Phone Number
763-361-7002
Fax Number
person
Provider Business Mailing Address Details
Address
5757 Plaza Dr
City
Cypress
State
California
Zip
90630-5000
Phone Number
763-361-7002
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
200550137NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN081159 (Arizona)
Definition
Definition to come...
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