Individual
TYRA A MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
975 KINGSVIEW DR, BLDG B, LEBANON, OH 45036-9562
(513) 228-7800
(513) 228-7857
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN-372255
OH
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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