MISS LOREN ANNE RAY TYSON NURSE PRACTITIONER NPI 1295724276

NPI Information

NPI: 1295724276
Provider Name: MISS LOREN ANNE RAY TYSON, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3600 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033
Phone: (703) 391-3600
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MISS Loren Anne Ray Tyson, NURSE PRACTITIONER is an adult health nurse practitioner in Fairfax, VA. MISS Loren Anne Ray Tyson, NURSE PRACTITIONER NPI is 1295724276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3600 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033-709
Phone: (703) 391-3600

The NPI 1295724276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 9/30/2022.

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	363LA2200X	Nurse Practitioner	Adult Health	26NJ00060800	NEW JERSEY	No
2	363LA2200X	Nurse Practitioner	Adult Health	0024170891	VIRGINIA	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: 4/28/2024

NPI Synchronization or Removal

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