Individual
MS. TAMMY LOUISE TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 402-1912
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 402-1912
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP2596
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660670
—
AZ
Enumeration date
11/16/2006
Last updated
06/06/2016
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