Tysen, Shriyani Taylor
Tysen, Shriyani Taylor is an individual health care provider with primary practice located at 621 Memorial Dr Ste 612 , South Bend IN 46601-1085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tysen, Shriyani Taylor can be contacted via phone (574) 232-3325.Contact Information
Primary practice address
621 Memorial Dr Ste 612
South Bend IN 46601-1085
Phone: (574) 232-3325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 202427588 | Indiana |
Profile Details
| NPI number | 1184462061 |
|---|---|
| LBN Legal business name | Tysen, Shriyani Taylor |
| Credentials | DNP, PNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2024 |
| Last updated | Jul 16th, 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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