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Contact Information

PATRICIA A TYRA, RN/PC,PMHCNS-BC
111 EDGARTOWN ROAD
OAK BLUFFS, MA02557
 Phone: 508-693-7900
 Fax: 508-696-0401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PATRICIA A TYRA · (Female)

NPI # 1063700888
Status Active
Credentials RN/PC,PMHCNS-BC
Entity Individual
Enumeration date 07/13/2011
Last updated 07/13/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # RN83437
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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