Provider Demographics
NPI:1578706792
Name:HYRE, DENISE DIANE (IDMT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:DIANE
Last Name:HYRE
Suffix:
Gender:F
Credentials:IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 103 BOX 1328
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09603-0014
Mailing Address - Country:US
Mailing Address - Phone:0039042-779-9156
Mailing Address - Fax:
Practice Address - Street 1:PSC 103 BOX 1328
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09603-0014
Practice Address - Country:US
Practice Address - Phone:0039043-430-1695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians