Search › Massachusetts › 364SP0808X
Patricia Tyra, RN/PC,PMHCNS-BC
NPI 1063700888 · on the registry since 2011 · sole proprietor
Practice
- Address
- 111 Edgartown Road
Oak Bluffs, MA 02557 - Phone
- (508) 693-7900
- Fax
- (508) 696-0401
- Organisation at this address
- Martha'S Vineyard Community Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 364SP0808X
364SP0808X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts