Individual provider · Type 1 NPI

Loren Anne Ray Tyson, NURSE PRACTITIONER

Nurse Practitioner · Fairfax, VA

NPI number 1295724276 Active

Practice location

8280 Willow Oaks Corporate Dr Ste 100
Fairfax, VA 22031-4517

Call (703) 269-3270 Map

Fax (703) 269-3271

Mailing address

10527 Reeds Landing Cir
Burke, VA 22015-2513

Other practice locations

  • 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 · (703) 391-3600
  • 8505 Arlington Blvd, Suite 320, Inova Cardiac Diagnostic Services, Fairfax, VA 22031 · (201) 232-5162

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X0024170891 (VA)
Nurse Practitioner Primary 363L00000X0024170891 (VA)
Adult Health Nurse Practitioner 363LA2200X26NJ00060800 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295724276

Loren Anne Ray Tyson, NURSE PRACTITIONER's National Provider Identifier is 1295724276, issued on Oct 21, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfax, VA. The record was last updated on Apr 3, 2026.