MRS. DALTREY ANNE TYREE PMHNP APRN NPI 1619968542

NPI Information

NPI: 1619968542
Provider Name: MRS. DALTREY ANNE TYREE, PMHNP, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1911 B SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 421-3397
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MRS. Daltrey Anne Tyree, PMHNP, APRN is a psychiatric/mental health nurse practitioner in Bowling Green, KY with 6 years of experience. MRS. Daltrey Anne Tyree, PMHNP, APRN NPI is 1619968542. 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:

1911 B SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104-303
Phone: (270) 421-3397

The NPI 1619968542 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 10/31/2005 and was last updated on 4/13/2021.

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	363L00000X	Nurse Practitioner		4688P	KENTUCKY	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3004688	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	554523	MEDICAID	ARIZONA
2	7100579550	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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