Organization · Type 2 NPI

Tiamson Inc

Family Nurse Practitioner · Rancho Cucamonga, CA

NPI number 1124745161 Active

Practice location

10570 Foothill Blvd Ste 220
Rancho Cucamonga, CA 91730-3876

Specialties and licenses

Taxonomy	Code	License
Pain Management Registered Nurse	163WP0000X	None listed
Physical Therapy Clinic/Center	261QP2000X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1124745161
Entity type: Organization (Type 2)
Issued: Oct 20, 2022
Last updated: Feb 8, 2023
Status: Active

Other names

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Shylee Skin Wellness and Family Practice · doing business as
Shylee Skin Wellness and Family Practice · doing business as

Authorized official

Shylee Baustista Tiamson, NP
Authorized Office / Owner
(909) 808-4888

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124745161

Tiamson Inc's National Provider Identifier is 1124745161, issued on Oct 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Feb 8, 2023.