Tyree, Dionne Michelle
Tyree, Dionne Michelle is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Tyree, Dionne Michelle can be contacted via phone (804) 765-5000.Contact Information
Primary practice address
200 Medical Park Blvd
Petersburg VA 23805
Phone: (804) 765-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 0001138871 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024168660 | Virginia |
Profile Details
NPI number | 1427389709 |
---|---|
LBN Legal business name | Tyree, Dionne Michelle |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2010 |
Last updated | Apr 16th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427389709 | NPPES |
Virginia | MEDICAID | 1427389709 |
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