NPI 1619737673

Katherine Tyree

Practitioner Licensed Practical Nurse Missoula, MT

Practice location

Address: 2415 S Catlin St, Missoula, MT 59801-7822
Phone: (406) 549-0114
Mailing address: 8444 N 90th St STE 100, Scottsdale, AZ 85258-4437

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence NUR-LPN-LIC-215592 (MT)

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Registry record

NPI: 1619737673
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2024
Record last updated: 19 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.