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

Individual provider Phlebotomy Technician · NPI 1235973744

Tyisha Charles, CPT, CNA is a Phlebotomy Technician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
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Practice location Address checks out

2290 W Oregon Ave # 1141
Philadelphia, PA 19145-4197
Phone: (267) 971-0372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence A6S6G2H2 (PA)

Record details

NPI number1235973744
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPT , CNA
Sole proprietorYes
NPI enumeratedJune 20, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address2290 W Oregon Ave # 1141, Philadelphia, PA 19145-4197

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