Individual
AUDREY ROBIN TYRKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6689
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD11172
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00410581
BLUE CHIP
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RI
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
15-53893
UNITED BEHAVIORAL HEALTH
RI
01
—
30330-9
BLUE CROSS
RI
05
—
7010648
—
RI
01
—
P00402009
MEDICARE RAILROAD
RI
Enumeration date
07/29/2006
Last updated
10/16/2025
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