NPI Profile for PATRICIA A TYRA in OAK BLUFFS, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
364SP0808X | 89 | Certified Clinical Nurse Specialist |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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PATRICIA A TYRA
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