BRYAN MARSHALL TISON PNP-PC NPI 1922518232

NPI Information

NPI: 1922518232
Provider Name: BRYAN MARSHALL TISON, PNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2000 E 15TH ST STE 400A
EDMOND, OK
ZIP 73013
Phone: (405) 341-1697
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Bryan Marshall Tison, PNP-PC is a pediatrics nurse practitioner in Edmond, OK. Bryan Marshall Tison, PNP-PC NPI is 1922518232. 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:

2000 E 15TH ST STE 400A
EDMOND, OK
ZIP 73013-673
Phone: (405) 341-1697
Fax: (405) 341-2672

The enumeration date for this NPI number is 10/2/2017 and was last updated on 7/21/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	101670	OKLAHOMA	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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