Provider Demographics
NPI:1598330086
Name:MYHRE, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MYHRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 CEDARBRUSH DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-2808
Mailing Address - Country:US
Mailing Address - Phone:214-797-9063
Mailing Address - Fax:
Practice Address - Street 1:107 MURRAY ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-1645
Practice Address - Country:US
Practice Address - Phone:469-608-0071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty