Individual
KATHERINE TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 S CATLIN ST, MISSOULA, MT 59801-7822
(406) 549-0114
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NUR-LPN-LIC-215592
MT
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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