SHANACIA TYISKA

Registered Nurse

Active Individual
NPI: 1912568775

Practice Address

308 MEADOWLARK LN
Longview, TX 75603

Phone: (903) 736-9689

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 879044 (TX)

Frequently Asked Questions

NPI 1912568775 is the National Provider Identifier for SHANACIA TYISKA, a Registered Nurse provider located in Longview, TX. This NPI was enumerated on June 24, 2019.
SHANACIA TYISKA practices at 308 MEADOWLARK LN, Longview, TX 75603.

Quick Facts

NPI
1912568775
Type
Individual
Enumerated
Jun 24, 2019
Last Updated
Jun 24, 2019

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