Individual
TYRA DEJEAN MARTINEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1050 FORRER BLVD STE 250, KETTERING, OH 45420-3640
(800) 986-4801
(937) 684-9990
Mailing address
1050 FORRER BLVD STE 250, KETTERING, OH 45420-3640
(800) 986-4801
(937) 684-9990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.18355
OH
363LF0000X
Family Nurse Practitioner
323828
OH
Other
Enumeration date
10/10/2015
Last updated
08/11/2025
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