MEDICARE: HEATHER A DRYER

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	363LF0000X	Family Nurse Practitioner	SP013046	PA

General Provider Information

NPI Number	:	1588098164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER A DRYER

Provider Business Mailing Address
First Line	:	7546 ROUTE 30
Second Line	:	1ST FLOOR
City	:	IRWIN
State	:	PA
Zip	:	15642-7528
Country	:	US
Telephone Number	:	724-765-1030
Fax Number	:	724-765-1023

Provider Business Practice Location Address
First Line	:	7546 ROUTE 30
Second Line	:	1ST FLOOR
City	:	IRWIN
State	:	PA
Zip	:	15642-7528
Country	:	US
Telephone Number	:	724-765-1030
Fax Number	:	724-765-1023

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

Provider Enumeration Date	:	08/30/2013
Last Update Date	:	03/28/2017

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Directions to “ HEATHER A DRYER ” Practice Location

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