Tyrie, Theresa Montgomery

Tyrie, Theresa Montgomery is an individual health care provider with primary practice located at 2021 N Crooked Branch Dr , Lecanto FL 34461-9453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Tyrie, Theresa Montgomery can be contacted via phone (352) 436-4428.

Contact Information

Primary practice address
2021 N Crooked Branch Dr Lecanto FL 34461-9453
Phone: (352) 436-4428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9293072 Florida

Profile Details

NPI number 1649753468
LBN Legal business name Tyrie, Theresa Montgomery
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 2018 - about 6 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.

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