Individual
PATRICIA A. TYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/PC,PMHCNS-BC
Contact information
Practice address
111 EDGARTOWN ROAD, OAK BLUFFS, MA 02557
(508) 693-7900
(508) 696-0401
Mailing address
PO BOX 369, VINEYARD HAVEN, MA 02568-0369
(508) 693-7900
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN83437
MA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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