Healthcare Provider Details

I. General information

NPI: 1679619704
Provider Name (Legal Business Name): CAROLYN U NYE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN A NYE

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 EAST 7TH STREET
HAYS KS
67601
US

IV. Provider business mailing address

3503 B CHAUMONT
HAYS KS
67601
US

V. Phone/Fax

Practice location:
  • Phone: 785-628-2871
  • Fax: 785-628-1438
Mailing address:
  • Phone: 785-628-2871
  • Fax: 785-628-0426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP 74330
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1347054022
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: