MR. ROBERT JOHN TYSON LPN NPI 1336336759

NPI Information

NPI: 1336336759
Provider Name: MR. ROBERT JOHN TYSON, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
215 STANDISH DR
SYRACUSE, NY
ZIP 13224
Phone: (315) 477-9593
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MR. Robert John Tyson, LPN is a licensed practical nurse in Syracuse, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Robert John Tyson, LPN NPI is 1336336759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 STANDISH DR
SYRACUSE, NY
ZIP 13224-913
Phone: (315) 477-9593

The enumeration date for this NPI number is 9/30/2007 and was last updated on 9/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		241946	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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