Tilson, Myra M.

Tilson, Myra M. is an individual health care provider with primary practice located at 5457 Twin Knolls Rd Ste 300 , Columbia MD 21045-3296. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tilson, Myra M. can be contacted via phone (410) 861-0740.

Contact Information

Primary practice address
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296
Phone: (410) 861-0740
Fax: (434) 225-9723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R212286 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AC005810 Maryland

Profile Details

NPI number 1619219912
LBN Legal business name Tilson, Myra M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Oct 15th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619219912 NPPES
Maryland MEDICAID 072673700

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