Active NPIIndividual providerSole proprietor

Patricia A Tyra, RN/PC, PMHCNS-BC

Clinical Nurse Specialist, Psych/Mental Health in Oak Bluffs, Massachusetts

NPI Number1063700888
Practice location
111 Edgartown Road, Oak Bluffs, MA 02557
Fax
508-696-0401
Last updated
July 13, 2011

Patricia A. Tyra is a Clinical Nurse Specialist, Psych/Mental Health based in Oak Bluffs, MA. Patricia A. Tyra practices in Oak Bluffs, MA and has the professional credentials of RN/PC, PMHCNS-BC. The NPI Number for Patricia A. Tyra is 1063700888 and holds a License No. RN83437 (MA). The current practice location address for Patricia A. Tyra is 111 Edgartown Road, Oak Bluffs, MA 02557 and can be reached out via phone at 508-693-7900 and via fax at 508-696-0401.

Provider Profile Details

NPI Number
1063700888
Provider Name
Patricia A. Tyra
Credential
RN/PC, PMHCNS-BC
Provider Entity Type
Individual
Gender
Female
Address
111 Edgartown Road, Oak Bluffs, MA 02557
Phone Number
508-693-7900
Fax Number
508-696-0401
Sole Proprietor
Yes
Provider Enumeration Date
July 13, 2011
Last Update Date
July 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Edgartown Road
Oak Bluffs, MA 02557
Zip
02557
Phone Number
508-693-7900
Fax Number
508-696-0401
Oak Bluffs, MA 02557Get directions →

Provider Business Mailing Address Details

Address
Po Box 369
Vineyard Haven, MA 02568-0369
City
Vineyard Haven
State
MA
Zip
02568-0369
Phone Number
508-693-7900

License Information

License Number
RN83437
License State
MA
Taxonomy
Clinical Nurse Specialist, Psych/Mental Health · 364SP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patricia A Tyra, RN/PC, PMHCNS-BC?

The NPI number of Patricia A Tyra, RN/PC, PMHCNS-BC is 1063700888. It was assigned on July 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Patricia A Tyra, RN/PC, PMHCNS-BC?

Patricia A Tyra, RN/PC, PMHCNS-BC is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health (code 364SP0808X), licensed in MA under license number RN83437.

Where does Patricia A Tyra, RN/PC, PMHCNS-BC practice?

The practice location is 111 Edgartown Road, Oak Bluffs, MA 02557. The office can be reached at 508-693-7900 (phone) or 508-696-0401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063700888 directly on the NPPES registry website.

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