person
Mimi Tyson
Psychiatric/Mental Health Nurse Practitioner in North Bethesda, Maryland
NPI 1952960924

Mimi Tyson is a Psychiatric/Mental Health Nurse Practitioner based in Bowie, MD and is specialized in Psychiatric/Mental Health. Mimi Tyson practices in North Bethesda, MD. The NPI Number for Mimi Tyson is 1952960924 and holds a License No. R180111 (Maryland).

The current practice location address for Mimi Tyson is 11810 Grand Park Ave Ste 500, North Bethesda, MD and can be reached out via phone at 030-139-2712.

Location: 11810 Grand Park Ave Ste 500, North Bethesda, MD, 20721-1308
person
Provider Profile Details
NPI Number
1952960924
Provider Name
Mimi Tyson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11810 Grand Park Ave Ste 500, North Bethesda, MD, 20721-1308
Phone Number
030-139-2712
Fax Number
Provider Enumeration Date
06/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11810 Grand Park Ave Ste 500
City
State
Zip
20852-8679
Phone Number
030-139-2712
Fax Number
person
Provider Business Mailing Address Details
Address
11810 Grand Park Ave Ste 500
City
State
Zip
20852-8679
Phone Number
030-139-2712
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R180111 (Maryland)
Definition
Definition to come...
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