person
Ms. Tyshan Nishel Austin, PA
Medical Physician Assistant in Hollywood, Florida
NPI 1760617708

Tyshan Nishel Austin is a Medical Physician Assistant based in Miramar, FL and is specialized in Medical. Tyshan Nishel Austin practices in Hollywood, FL and has the professional credentials of PA. The NPI Number for Tyshan Nishel Austin is 1760617708 and holds a License No. PA 9104993 (Florida).

The current practice location address for Tyshan Nishel Austin is 5647 Hollywood Blvd, Hollywood, FL and can be reached out via phone at 954-276-1616 and via fax at 954-276-0186.

Location: 5647 Hollywood Blvd, Hollywood, FL, 33025-3925
person
Provider Profile Details
NPI Number
1760617708
Provider Name
Tyshan Nishel Austin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5647 Hollywood Blvd, Hollywood, FL, 33025-3925
Phone Number
954-276-1616
Fax Number
954-276-0186
Provider Enumeration Date
05/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013087100 05 FL
institution
Provider Business Practice Location Address Details
Address
5647 Hollywood Blvd
City
State
Zip
33021-6325
Phone Number
954-276-1616
Fax Number
954-276-0186
person
Provider Business Mailing Address Details
Address
5647 Hollywood Blvd
City
State
Zip
33021-6325
Phone Number
954-276-1616
Fax Number
954-276-0186
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 9104993 (Florida)
Definition
Definition to come...
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