Austin, Tyshan Nishel
Austin, Tyshan Nishel is an sole proprietor health care provider with primary practice located at 5647 Hollywood Blvd , Hollywood FL 33021-6325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Austin, Tyshan Nishel can be contacted via phone (954) 276-1616.Contact Information
Primary practice address
5647 Hollywood Blvd
Hollywood FL 33021-6325
Phone: (954) 276-1616
Fax: (954) 276-0186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9104993 | Florida |
Profile Details
| NPI number | 1760617708 |
|---|---|
| LBN Legal business name | Austin, Tyshan Nishel |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2009 |
| Last updated | Jul 11th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760617708 | NPPES |
| Florida | MEDICAID | 013087100 |
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