Mitzi Braddock Tyre, FNP is a psychiatric/mental health nurse practitioner in Waycross, GA with 16 years of experience. Mitzi Braddock Tyre, FNP NPI is 1396983227. 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:
1007 MARY ST
WAYCROSS, GA
ZIP 31503-823
Phone: (912) 449-7100
Fax: (912) 449-7080
The NPI 1396983227 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/30/2009 and was last updated on 3/19/2024.