Individual
MS. VICTORIA LYNN TYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
N61W23044 HARRYS WAY, SUSSEX, WI 53089-3995
(866) 275-3737
(414) 566-7613
Mailing address
1301 DUBLIN ST, GRAPEVINE, TX 76051-2816
(972) 977-9421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024181497
VA
363LF0000X
Family Nurse Practitioner
0030325
OH
363LF0000X
Family Nurse Practitioner
035877
PA
363LF0000X
Family Nurse Practitioner
4704438796
MI
363LF0000X
Family Nurse Practitioner
64317
NM
363LF0000X
Family Nurse Practitioner
71009011B
IN
363LF0000X
Family Nurse Practitioner
903244
MS
363LF0000X
Family Nurse Practitioner
95025997
CA
363LF0000X
Family Nurse Practitioner
Primary
AP117203
TX
363LF0000X
Family Nurse Practitioner
APNP9249
WI
363LF0000X
Family Nurse Practitioner
F349235-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308376801
—
TX
Enumeration date
08/27/2008
Last updated
07/01/2026
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