BRYAN MARSHALL TISON PNP-PC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1922518232- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP-PC
- Status
- Active
Contact & Location
- Address
- 2000 E 15TH ST STE 400A, EDMOND, OK, 730136673
- Phone
- (405) 341-1697
- Fax
- (405) 341-2672
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: OK #101670