Flower, Tyson
Flower, Tyson is an sole proprietor health care provider with primary practice located at 610 S Woodruff Ave , Idaho Falls ID 83401-5299. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Flower, Tyson can be contacted via phone (208) 996-1700.Contact Information
Primary practice address
610 S Woodruff Ave
Idaho Falls ID 83401-5299
Phone: (208) 996-1700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53465 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 53465 | Idaho |
Profile Details
NPI number | 1184258311 |
---|---|
LBN Legal business name | Flower, Tyson |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 26th, 2020 |
Last updated | Dec 14th, 2022 - 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.
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