NPI 1184380776
Desziree Tyson
Practice location
- Address
- 4601 S 1st St APT 136, Milwaukee, WI 53207-5902
- Phone
- (414) 795-1329
Registered specialties
Doula
Primary
Registry record
- NPI
- 1184380776
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Nov 2021
- Record last updated
- 9 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.