MS. TENISIA TYRE


Address: 1201 Wings Way, Lehigh Acres, FL 33936-3601
Phone: 2393334250

MS. TENISIA TYRE (NPI# 1750634648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750634648
Entity Type Individual
Full Name MS. TENISIA TYRE
Credential ARNP-C
Practice Address 1201 Wings Way
Lehigh Acres
FL 33936-3601
Mailing Address 815 Zana Dr
Fort Myers
FL 33905-4069
Practice Telephone 2393334250
Practice Fax Number 2393334251
Mailing Telephone 2396945876
Enumeration Date 2012-10-17
Last Update Date 2012-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP 3421362 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1201 WINGS WAY
City LEHIGH ACRES
State FL
Zip Code 33936-3601

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NPI Name Taxonomy Address Enumeration
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1093808552 Abdel R Aryan Pharmacist 57 Homestead Rd No., Lehigh Acres, FL 33936 2006-10-02
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1699702035 Florence Faye Doman Internal Medicine Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 2006-06-28
1396732970 Joseph Francis Avey Family Medicine 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 2005-09-29
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City LEHIGH ACRES
Zip Code 33936

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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