Search › Pennsylvania › 101YM0800X
Tyra Wilson
NPI 1790636306 · on the registry since 2026 · sole proprietor
Practice
- Address
- 231 W Johnson St Apt 204
Philadelphia, PA 19144 - Phone
- (215) 478-5549
- Fax
- (215) 478-5549
Additional practice sites
- 717 Bethlehem Pike Ste 310, Erdenheim, PA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2026-02-09
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 Pennsylvania