National Provider Identifier

Charlotte Tyson, REGISTERED NURSE

Charlotte Tyson, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Mental Health Clinic/Center (Including Community Mental Health Center) in Buffalo, NY and a listed phone number of (716) 898-1334.

NPI 1487195392Buffalo, NYMental Health Clinic/Center (Including Community Mental Health Center)

Profile Overview

NPI
1487195392
Provider Type
Individual
Primary Specialty
Mental Health Clinic/Center (Including Community Mental Health Center)
Enumeration Date
March 10, 2017
Last Updated
March 10, 2017

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-1334

Specialties

  • Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1487195392
Entity Type
Individual
Last Name
Tyson
First Name
Charlotte
Name Prefix
Mrs.
Credential
REGISTERED NURSE
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-1334
Mailing Fax
(716) 898-1313
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-1334
Practice Fax
(716) 898-1313
Enumeration Date
March 10, 2017
Last Updated
March 10, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), Registered Nurse (163W00000X)