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Organization
BOWLING GREEN PSYCHIATRY
Active
Organization
BOWLING GREEN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALTREY ANNE TYREE APRN (OWNER, PROVIDER)
(270) 421-3397
Entity
Organization
Contact information
Practice address
730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101-2365
(270) 715-0665
(270) 550-2008
Mailing address
730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101-2365
(270) 715-0665
(270) 550-2008
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100697650
—
KY
Enumeration date
10/08/2020
Last updated
10/19/2025
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