MEDICARE: ELIZABETH DYE PMHNP-BC

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	363L00000X	Nurse Practitioner	334125	AZ

General Provider Information

NPI Number	:	1598624991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH DYE PMHNP-BC

Provider Business Mailing Address
First Line	:	3420 S MERCY RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0419
Country	:	US
Telephone Number	:	480-728-7342
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 S MERCY RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0419
Country	:	US
Telephone Number	:	480-728-7342
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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