Individual
TYREE SHIRRAY MATHENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
437 NOTTINGHAM DR, CABOT, AR 72023-3857
(501) 960-6262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R064774
AR
363LF0000X
Family Nurse Practitioner
Primary
212982
AR
Other
Enumeration date
07/15/2019
Last updated
02/18/2021
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