Tyree, Daltrey Anne

Tyree, Daltrey Anne is an sole proprietor health care provider with primary practice located at 1911 B Scottsville Rd , Bowling Green KY 42104-3303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tyree, Daltrey Anne can be contacted via phone (270) 421-3397.

Contact Information

Primary practice address
1911 B Scottsville Rd Bowling Green KY 42104-3303
Phone: (270) 421-3397
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4688P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3004688 Kentucky

Profile Details

NPI number 1619968542
LBN Legal business name Tyree, Daltrey Anne
Credentials PMHNP, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Apr 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619968542 NPPES
Kentucky MEDICAID 7100579550
Kentucky MEDICAID 554523

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