Search › Michigan › 163WC1500X
Shajuana Tyson
NPI 1366366320 · on the registry since 2026
Practice
- Address
- 7122 Creekside Dr
Lansing, MI 48917 - Phone
- (313) 510-7418
Registry record
- Primary taxonomy
- 163WC1500X
163WC1500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan