| Doctor Name: | MRS. MICHELE G TYMAN |
| NPI Number: | 1336408095 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 390206 |
| Business Practice Address: | 1500 Route 488 Midlakes Primary School Clifton Springs, NY - 144329308 |
| Business Phone Number: | 3155486700 |
| Business Fax Number: | 3155486709 |
| Mailing Address: | 1500 Route 488, Midlakes Primary School CLIFTON SPRINGS |
| State: | NY |
| Postal Code: | 144329308 |
| Phone Number: | 3155486700 |
| Fax Number: | 3155486709 |
| NPI Enumeration Date: | 05/15/2012 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 390206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |