# MRS. DALTREY ANNE TYREE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619968542
- **Gender:** F
- **Credential:** PMHNP, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4688P | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3004688 | KY | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 01/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 554523 | — | AZ |
| 05 | — | 7100579550 | — | KY |