Tracy Tyson
Pediatrician Pediatric Emergency Physician
44 Center St
Enosburg Falls
, Vermont 05450-5795
Tracy Tyson
Pediatrician Pediatric Emergency Physician
44 Center St
Enosburg Falls
, Vermont 05450-5795
(802) 288-1144
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Tracy Tyson
- 66 Knight Ln Ste 10
- Williston, VT
- Zip : 05495-9308
- Fax : (802) 288-1144
- Phone : (802) 872-4329
Second Address
- Tracy Tyson
- 44 Center St
- Enosburg Falls, VT
- Zip : 05450-5795
- Fax : (802) 933-8642
- Phone : (802) 527-8189
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | ME96031 | FL |
| Y | 208000000X | Pediatrician | ME96031 | FL |
National Provider Identifier
| NPI | 1205865045 |
|---|---|
| Provider Name | Tracy Tyson |
| First Address | Williston, VT 05495-9308 |
| Second Address | Enosburg Falls, VT 05450-5795 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 29/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 202194472A | (05) | GA |
| 275570000 | (05) | FL |
| 57012 | BCBS (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.