MEDICARE: NATASSIA DYE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care		WI
2	385HR2065X	Child Physical Disabilities Respite Care		WI

General Provider Information

NPI Number	:	1952259798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASSIA DYE

Provider Business Mailing Address
First Line	:	4072 N 12TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-7008
Country	:	US
Telephone Number	:	414-841-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	4072 N 12TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-7008
Country	:	US
Telephone Number	:	414-841-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ NATASSIA DYE ” Practice Location

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