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NPI Code Detail

MEDICARE: DIANA DYER CNM

MEDICARE: DIANA DYER CNM
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
1367A00000XAdvanced Practice MidwifeARNP9179186FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528014404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA DYER CNM
Provider Business Mailing Address
First Line : 1425 CREECH RD
Second Line :
City : NAPLES
State : FL
Zip : 34103-4207
Country : US
Telephone Number : 239-262-0301
Fax Number : 239-262-7658
Provider Business Practice Location Address
First Line : 1425 CREECH RD
Second Line :
City : NAPLES
State : FL
Zip : 34103-4207
Country : US
Telephone Number : 239-262-0301
Fax Number : 239-262-7658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 04/18/2012

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Directions to “ DIANA DYER CNM” Practice Location

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