Individual provider · Type 1 NPI
Alisha Tyson
Family Nurse Practitioner · West Haven, CT
NPI number
1508624933
Active
Practice location
511 Main St Apt G13
West Haven, CT 06516-4260
Mailing address
PO Box 4043
Hamden, CT 06514-0043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 12946 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508624933
Alisha Tyson's National Provider Identifier is 1508624933, issued on Mar 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Haven, CT. The record was last updated on Mar 11, 2024.