Individual provider · Type 1 NPI

Robert John Tyson Iii, LPN

Licensed Practical Nurse · Syracuse, NY

NPI number 1336336759 Active

Practice location

215 Standish Dr
Syracuse, NY 13224-1913

Call (315) 477-9593 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X241946 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1336336759

Robert John Tyson Iii, LPN's National Provider Identifier is 1336336759, issued on Sep 30, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Sep 30, 2007.