Individual
TYRA MARIE SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 COLTON CREEK RD, KNIGHTDALE, NC 27545-6382
(413) 342-7004
Mailing address
1218 COLTON CREEK RD, KNIGHTDALE, NC 27545-6382
(413) 342-7004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5018938
NC
Other
Enumeration date
08/29/2023
Last updated
10/27/2024
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