TYREE SHIRRAY MATHENIA APRN-BC NPI 1669024105

NPI Information

NPI: 1669024105
Provider Name: TYREE SHIRRAY MATHENIA, APRN-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR
ZIP 72114
Phone: (501) 257-1000
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Tyree Shirray Mathenia, APRN-BC is a family nurse practitioner in North Little Rock, AR. Tyree Shirray Mathenia, APRN-BC NPI is 1669024105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR
ZIP 72114-709
Phone: (501) 257-1000

The NPI 1669024105 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R064774	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	212982	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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