Individual provider · Type 1 NPI

Tyson Ryley Nickelson

Nurse Practitioner · Manhattan, KS

NPI number 1972194751 Active

Practice location

200 Research Dr
Manhattan, KS 66503-3049

Mailing address

3517 Churchill Way
Manhattan, KS 66503-0384

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X53-79960-011 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972194751

Tyson Ryley Nickelson's National Provider Identifier is 1972194751, issued on Feb 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manhattan, KS. The record was last updated on Feb 3, 2021.