Mimi Tyson has Nurse Practitioner as her primary medical specialty. Their primary office is: 8101 Sandy Spring Rd in Laurel, Maryland. They attended Sorry, her university is not listed and graduated in 2019 (around 5 years of experience). They are listed as doing telehealth appointments.
Mimi Tyson
8101 Sandy Spring Rd
Laurel, Maryland 20707
301-392-7120
Phone: 301-392-7120
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2019
The Primary Medical Specialty for Mimi Tyson is listed as: Nurse Practitioner
Approximate Years of Experience: 5
PAC (PECOS ID)#: 2567790470
NPI #: 1952960924
NPI Created On: 06/12/2019
NPI Last Updated Listed as: 04/24/2023
Primary Taxonomy Code: 363LP0808X
License Number:
R180111
Listed Gender: Female
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $97
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Third party is a Charity:: No
Record ID:: 788862391
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: SPRAVATO
Open Associated Drug #1: 50458-028-02
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