VINCENT TYSON — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, CA)
VINCENT TYSON — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: VINCENT TYSON; Type: Individual; NPI: 1003245457.
| Name | VINCENT TYSON |
|---|---|
| Type | Individual |
| NPI | 1003245457 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | CA |
| Enrollment ID | I20251105002771 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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