Mitzi Braddock Tyre

FNP | Nurse Practitioner | 16+ years Exp

Accepts Medicare Nurse Practitioner in Waycross, Georgia.
Mitzi Braddock Tyre is a Waycross, Georgia based nurse practitioner with 16 years of experience in . She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mitzi Braddock Tyre is RN170702 for Psych/Mental Health in Georgia. Her current practice location is 1007 Mary St, Waycross. Patients can reach her at 912-387-7737 or can fax her at 912-449-7080. Mitzi Braddock Tyre is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1396983227.
Mitzi Braddock Tyre has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
Mitzi Braddock Tyre speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mitzi Braddock Tyre
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: FNP
Experience: 16+ years
Medical School Attended:Other
Graduation Year:2008
Accepts Medicare Assignment:Yes
Practice Address:1007 Mary St, Waycross,
Georgia, 31503-3823
Phone:912-387-7737
Fax:912-449-7080
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6800065582
Enrollment ID: I20110815000504
NPI Number: 1396983227
NPI Enumeration Date: 30 Jan, 2009
NPI Last Update On: 20 Aug, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitzi Braddock Tyre are as mentioned below.
License NumberSpecializationStateStatus
RN170702Psych/Mental Health GeorgiaPrimary
RN170702Registered Nurse GeorgiaSecondary
RN170702Family GeorgiaSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mitzi Braddock Tyre is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Unison Behavioral Health (7517852247)10
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mitzi Braddock Tyre
2900 Mossy Oak Trl,
Waycross, Georgia
Zip: 31503-4621
Phone Number: 912-387-7737
Patients can reach Mitzi Braddock Tyre at 1007 Mary St, Waycross, Georgia or can call to book an appointment on 912-387-7737.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.