Bryan Marshall Tison, PNP-PC Valid NPI

Individual provider · Pediatric Nurse Practitioner · Edmond, OK

NPI

1922518232

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

101670 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-10-02

Last updated

2022-07-21