Healthcare Provider Details

I. General information

NPI: 1326365214
Provider Name (Legal Business Name): ANNE DYE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2010
Last Update Date: 01/25/2022
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 E TOWN ST SUITE 8-500
COLUMBUS OH
43215-4600
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-7370
  • Fax: 614-533-0187
Mailing address:
  • Phone: 614-544-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number11410-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: