| Doctor Name: | PATRICIA E TYSON |
| NPI Number: | 1073977500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 041304910 |
| Business Practice Address: | 7713 Colorado St Merrillville, IN - 464104826 |
| Business Phone Number: | 7732203822 |
| Business Fax Number: | |
| Mailing Address: | 7713 Colorado St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464104826 |
| Phone Number: | 7732203822 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2016 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH1000X |
| License Number: | 041304910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hospice |
| Taxonomy Definition: | |