Individual provider · Type 1 NPI
Vincent Tyson
Gerontology Nurse Practitioner · Oakland Park, FL
NPI number
1003245457
Active
Practice location
5333 N Dixie Hwy Ste 110
Oakland Park, FL 33334-3453
Mailing address
441 SE 3rd Ct
Deerfield Beach, FL 33441-4727
Other practice locations
- 760 Carpenter Ln, Philadelphia, PA 19119-3406 · (215) 848-6880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SPO13376 (PA) |
| Primary Care Nurse Practitioner | 363LP2300X | 11005143 (FL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP61299531 (WA) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Oakland Park
About NPI 1003245457
Vincent Tyson's National Provider Identifier is 1003245457, issued on Nov 6, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oakland Park, FL. The record was last updated on Feb 6, 2024.