Individual provider · Type 1 NPI

Tyree Shirray Mathenia, APRN-BC

Family Nurse Practitioner · North Little Rock, AR

NPI number 1669024105 Active

Practice location

2200 Fort Roots Dr
North Little Rock, AR 72114-1709

Call (501) 257-1000 Map

Mailing address

437 Nottingham Dr
Cabot, AR 72023-3857

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR064774 (AR)
Family Nurse Practitioner Primary 363LF0000X212982 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1669024105

Tyree Shirray Mathenia, APRN-BC's National Provider Identifier is 1669024105, issued on Jul 15, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Little Rock, AR. The record was last updated on Feb 18, 2021.