Ray Tyson, Loren Anne

Ray Tyson, Loren Anne is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ray Tyson, Loren Anne can be contacted via phone (703) 391-3600.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Fairfax VA 22033-1709
Phone: (703) 391-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00060800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024170891 Virginia

Profile Details

NPI number 1295724276
LBN Legal business name Ray Tyson, Loren Anne
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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