Individual provider · Type 1 NPI
Mimi Tyson
Psychiatric/Mental Health Nurse Practitioner · North Bethesda, MD
NPI number
1952960924
Active
Practice location
6010 Executive Blvd Ste 700
North Bethesda, MD 20852-3885
Fax (301) 259-3820
Mailing address
4014 Diamondhead Ave
Bowie, MD 20721-1308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R180111 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024177697 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
- Cervello-Wellness, LLCPsychiatric/Mental Health Nurse Practitioner North Bethesda, MD NPI 1083239255
- Cervello-Wellness, LLCCommunity/Behavioral Health Agency North Bethesda, MD NPI 1619856887
- Cervello-Wellness, LLCMental Health Clinic/Center (Including Community Mental Health Center) Rockville, MD NPI 1942004262
Other psychiatric/mental health nurse practitioner providers in North Bethesda
About NPI 1952960924
Mimi Tyson's National Provider Identifier is 1952960924, issued on Jun 12, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in North Bethesda, MD. The record was last updated on Feb 3, 2025.