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Katija Tyson
Licensed Practical Nurse in Middletown, New York
NPI 1518616002

Katija Tyson is a Licensed Practical Nurse based in Middletown, NY. Katija Tyson practices in Middletown, NY. The NPI Number for Katija Tyson is 1518616002 and holds a License No. 333097 (New York).

The current practice location address for Katija Tyson is 117 Watkins Ave, Middletown, NY and can be reached out via phone at 845-239-1726.

Location: 117 Watkins Ave, Middletown, NY, 10940-4518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518616002
Provider Name
Katija Tyson
Credential
Provider Entity Type
Individual
Gender
Female
Address
117 Watkins Ave, Middletown, NY, 10940-4518
Phone Number
845-239-1726
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
117 Watkins Ave
City
Middletown
State
New York
Zip
10940-4518
Phone Number
845-239-1726
Fax Number
person
Provider Business Mailing Address Details
Address
117 Watkins Ave
City
Middletown
State
New York
Zip
10940-4518
Phone Number
845-239-1726
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
333097 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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