Individual provider · Type 1 NPI

Bryan Marshall Tison, PNP-PC

Pediatric Nurse Practitioner · Edmond, OK

NPI number 1922518232 Active

Practice location

2000 E 15th St Ste 400A
Edmond, OK 73013-6673

Fax (405) 341-2672

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X101670 (OK)

Pediatric Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1922518232

Bryan Marshall Tison, PNP-PC's National Provider Identifier is 1922518232, issued on Oct 2, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Edmond, OK. The record was last updated on Jul 21, 2022.