Tysha Canley
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Barling, AR
NPI 1831343219 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1831343219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- R72046 (AR)
- Practice address
- 1311 Fort Street
Barling, AR 72923 - Phone
- (479) 452-5040
- NPI assigned
- Nov 11, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72046 | AR | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R72046 | AR | Yes |
Addresses
Primary practice location
1311 Fort Street
Barling, AR 72923
Mailing address
PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040
Other providers in Barling, AR
- Cynthia Seaton Cagle
- Ramona Cain-Brown
- Harley Paige Cain
- Vanessa Caldwell
- Leisha Callan
- Jennifer A Carney
- Tabatha Carter
- Logan Cates
- Jacob Chambers
- Darrin Clark
All providers in Barling, AR · Psychiatric/Mental Health Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.