NPI 1538642426

Kathleen Ann Tyson

Practitioner Advanced Practice Midwife Centreville, VA

Practice location

Address: 14701 Lee Hwy STE 303, Centreville, VA 20121-2135
Phone: (703) 830-4388

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 0024177081 (VA)

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Registry record

NPI: 1538642426
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2018
Record last updated: 18 Dec 2018

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.