# BOWLING GREEN PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861099269
- **Authorized official:** DALTREY ANNE TYREE APRN (OWNER, PROVIDER)
- **Authorized official phone:** (270) 421-3397

## Contact information

- **Practice address:** 730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101-2365
- **Practice address phone:** (270) 715-0665
- **Practice address fax:** (270) 550-2008
- **Mailing address:** 730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101-2365
- **Mailing address phone:** (270) 715-0665
- **Mailing address fax:** (270) 550-2008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2020
- **Last updated:** 10/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100697650 | — | KY |