Individual
TYARRA MARIE TINOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 832-8192
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
148809
KS
363LF0000X
Family Nurse Practitioner
Primary
F01240534
KS
Other
Enumeration date
11/28/2023
Last updated
01/14/2024
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