Shriyani Taylor Tysen
DNP, PNP-PC | Nurse Practitioner - Pediatrics
621 Memorial Dr Ste 612, South Bend
Indiana, 46601-1085
574-232-3325
Shriyani Taylor Tysen is a South Bend, Indiana based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Shriyani Taylor Tysen is 71015594A for Pediatrics in Indiana. Her current practice location is 621 Memorial Dr Ste 612, South Bend. Patients can reach her at 574-232-3325 or can fax her at 574-232-3358. Shriyani Taylor Tysen is DNP, PNP-PC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1184462061.
Shriyani Taylor Tysen specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Shriyani Taylor Tysen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shriyani Taylor Tysen |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | DNP, PNP-PC |
| Practice Address: | 621 Memorial Dr Ste 612, South Bend,
Indiana, 46601-1085 |
| Phone: | 574-232-3325 |
| Fax: | 574-232-3358 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1184462061 |
| NPI Enumeration Date: | 16 Jul, 2024 |
| NPI Last Update On: | 01 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shriyani Taylor Tysen are as mentioned below.
| License Number | Specialization | State | Status | |
| 71015594A | Pediatrics | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shriyani Taylor Tysen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300110761 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shriyani Taylor Tysen
Po Box 778912,
Chicago, Illinois |
| Zip: | 60677-8912 |
| Phone Number: | 317-777-6435 |
| Fax Number: | 317-777-6644 |
Patients can reach Shriyani Taylor Tysen at
621 Memorial Dr Ste 612, South Bend, Indiana or can
call to book an appointment on 574-232-3325.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.