Provider Demographics
NPI:1699556530
Name:TYSON, MARGARITE (CGC)
Entity type:Individual
Prefix:
First Name:MARGARITE
Middle Name:
Last Name:TYSON
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:TYSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CGC
Mailing Address - Street 1:12221 W 2ND PL UNIT 206
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1598
Mailing Address - Country:US
Mailing Address - Phone:260-223-1540
Mailing Address - Fax:
Practice Address - Street 1:1825 N MARION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1122
Practice Address - Country:US
Practice Address - Phone:303-318-1321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS