Individual provider · Type 1 NPI

Tyresha Nicholson

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1720996747 Active

Practice location

742 James St
Syracuse, NY 13203-2017

Call (315) 703-2712 Map

Mailing address

350 Electronics Pkwy
Liverpool, NY 13088-6040

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720996747

Tyresha Nicholson's National Provider Identifier is 1720996747, issued on Aug 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Aug 31, 2026.