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Tyson A Harris, NP
Adult Health Nurse Practitioner in Blackfoot, Idaho
NPI 1588905699

Tyson A Harris is an Adult Health Nurse Practitioner based in Blackfoot, ID and is specialized in Adult Health. Tyson A Harris practices in Blackfoot, ID and has the professional credentials of NP. The NPI Number for Tyson A Harris is 1588905699 and holds a License No. NP-1272A (Idaho).

The current practice location address for Tyson A Harris is 98 Poplar St, Blackfoot, ID and can be reached out via phone at 208-782-3763.

Location: 98 Poplar St, Blackfoot, ID, 83221-1758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588905699
Provider Name
Tyson A Harris
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
98 Poplar St, Blackfoot, ID, 83221-1758
Phone Number
208-782-3763
Fax Number
Provider Enumeration Date
03/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
98 Poplar St
City
Blackfoot
State
Idaho
Zip
83221-1758
Phone Number
208-782-3763
Fax Number
person
Provider Business Mailing Address Details
Address
98 Poplar St
City
Blackfoot
State
Idaho
Zip
83221-1758
Phone Number
208-782-3763
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.
NP-1272A (Idaho)
Definition
Definition to come...
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