Mimi Tyson
NPI #1952960924 in North Bethesda, Maryland
Provider Information
- NPI Number
- 1952960924
- Entity Type
- Individual
- Name
- Mimi Tyson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 12, 2019
- Last Updated
- Feb 3, 2025
Practice Location
- Address
- 6010 EXECUTIVE BLVD STE 700
- City
- North Bethesda
- State
- Maryland
- ZIP Code
- 20852-3885
- Phone
- (301) 392-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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