Individual
NATALIE A TYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30265 COMMERCE DR UNIT 206, MILLSBORO, DE 19966-3595
(410) 749-4154
(410) 860-9583
Mailing address
1675 WOODBROOKE DR, SALISBURY, MD 21804-8502
(410) 749-4154
(410) 860-9583
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0000944
DE
363AS0400X
Surgical Physician Assistant
C0004158
MD
Other
Enumeration date
07/02/2008
Last updated
06/07/2019
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