Individual
MR. JOHN EDWARD TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN ACNP
Contact information
Practice address
292 STAFFORD RD, SOMERS, CT 06071-1235
(512) 426-7579
Mailing address
292 STAFFORD RD, SOMERS, CT 06071-1235
(512) 426-7579
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11388
CT
Other
Enumeration date
07/27/2013
Last updated
11/10/2025
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