Individual
SHARON A TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
(316) 291-4272
Mailing address
4401 MASTHEAD ST NE, #120, ALBUQUERQUE, NM 87109-4497
(505) 243-7729
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55115
KS
367500000X
Certified Registered Nurse Anesthetist
CRNA-01303
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454160E
—
KS
05
—
913810347
—
MO
Enumeration date
02/06/2006
Last updated
07/21/2022
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