Individual provider · Type 1 NPI
Mitzi Braddock Tyre, FNP
Psychiatric/Mental Health Nurse Practitioner · Waycross, GA
NPI number
1396983227
Active
Practice location
1007 Mary St
Waycross, GA 31503-3823
Fax (912) 449-7080
Mailing address
2900 Mossy Oak Trl
Waycross, GA 31503-4621
Other practice locations
- 5 Executive Cir, Savannah, GA 31406-3345 · (912) 349-9777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN170702 (GA) |
| Family Nurse Practitioner | 363LF0000X | RN170702 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN170702 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Waycross
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- Latina N. Heard, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Waycross, GA NPI 1538734850
- Tanya D. Miller, FAMILY NURSE PRACTITPsychiatric/Mental Health Nurse Practitioner Waycross, GA NPI 1750855599
- Laurine Porter Jones, FNPPsychiatric/Mental Health Nurse Practitioner Waycross, GA NPI 1932624053
About NPI 1396983227
Mitzi Braddock Tyre, FNP's National Provider Identifier is 1396983227, issued on Jan 30, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waycross, GA. The record was last updated on Aug 20, 2024.