person
Ms. Ingrid Maria Tyson, MSFNP
Family Nurse Practitioner in Bandon, Oregon
NPI 1952354839

Ingrid Maria Tyson is a Family Nurse Practitioner based in Santa Fe, OR and is specialized in Family. Ingrid Maria Tyson practices in Bandon, OR and has the professional credentials of MSFNP. The NPI Number for Ingrid Maria Tyson is 1952354839 and holds a License No. CNP02197 (Oregon).

The current practice location address for Ingrid Maria Tyson is 780 2Nd St Se, Bandon, OR and can be reached out via phone at 541-347-2529 and via fax at 541-347-9196.

Location: 780 2Nd St Se, Bandon, OR, 87508-9211
person
Provider Profile Details
NPI Number
1952354839
Provider Name
Ingrid Maria Tyson
Credential
MSFNP
Provider Entity Type
Individual
Gender
Female
Address
780 2Nd St Se, Bandon, OR, 87508-9211
Phone Number
541-347-2529
Fax Number
541-347-9196
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
273956 05 OR
120353 01 OR MEDICARE GROUP PIN
institution
Provider Business Practice Location Address Details
Address
780 2Nd St Se
City
State
Zip
97411-8354
Phone Number
541-347-2529
Fax Number
541-347-9196
person
Provider Business Mailing Address Details
Address
780 2Nd St Se
City
State
Zip
97411-8354
Phone Number
541-347-2529
Fax Number
541-347-9196
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP02197 (New Mexico)
Definition
Definition to come...
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