Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanel Tyson

Individual provider Licensed Practical Nurse · NPI 1396611521

Chanel Tyson is a Licensed Practical Nurse in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

15C Hemlock Dr Apt 28
Bay Shore, NY 11706-2923
Phone: (917) 687-4198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 345727 (NY)

Record details

NPI number1396611521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

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