Tyson Flower, FNP | |
610 S Woodruff Ave, Idaho Falls, ID 83401-5299 | |
(208) 996-1700 | |
Not Available |
Full Name | Tyson Flower |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 610 S Woodruff Ave, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184258311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 53465 (Idaho) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53465 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Perma Mental Health Pllc | 3577887041 | 5 |
Entity Name | Perma Mental Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104214618 PECOS PAC ID: 3577887041 Enrollment ID: O20150112001155 |
Entity Name | Meridian Advanced Psychiatry , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609412683 PECOS PAC ID: 8628490711 Enrollment ID: O20200618000604 |
Mailing Address | Practice Location Address |
---|---|
Tyson Flower, FNP 610 S Woodruff Ave, Idaho Falls, ID 83401-5299 Ph: (208) 996-1700 | Tyson Flower, FNP 610 S Woodruff Ave, Idaho Falls, ID 83401-5299 Ph: (208) 996-1700 |
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