Healthcare Provider Details

I. General information

NPI: 1245580364
Provider Name (Legal Business Name): BARBARA ANN DYKIE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N 6TH ST
READING PA
19601-3096
US

IV. Provider business mailing address

451 CHEW ST STE 103
ALLENTOWN PA
18102-3412
US

V. Phone/Fax

Practice location:
  • Phone: 610-378-2440
  • Fax: 610-378-2441
Mailing address:
  • Phone: 610-378-2440
  • Fax: 610-378-2441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012351
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: