| Ms Ingrid Maria Tyson, MS FNP | |
|
780 2nd St Se, Bandon, OR 97411-8354 | |
| (541) 347-2529 | |
| (541) 347-9196 |
| Full Name | Ms Ingrid Maria Tyson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 780 2nd St Se, Bandon, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952354839 | NPI | - | NPPES |
| 273956 | Medicaid | OR | |
| 120353 | Other | OR | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP02197 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ingrid Maria Tyson, MS FNP 130 Principe De Paz, Santa Fe, NM 87508-9211 Ph: (505) 780-5425 | Ms Ingrid Maria Tyson, MS FNP 780 2nd St Se, Bandon, OR 97411-8354 Ph: (541) 347-2529 |
Anna Delaine Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-5191 Fax: 541-347-2015 | |
Stephanie Ann Empson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Amanda Stone, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Mary Nell Anker, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-2313 Fax: 541-347-2015 | |
Diane Michele Reid, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Angela Heather Marcucilli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-2313 |