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NPI Code Detail

MEDICARE: SHEILA DYER CRNP

MEDICARE: SHEILA DYER CRNP
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
1363LF0000XFamily Nurse PractitionerSP015787PA
2363LF0000XFamily Nurse Practitioner1007546TX

General Provider Information

NPI Number : 1619332756
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA DYER CRNP
Provider Business Mailing Address
First Line : 3850 FM 2920 RD
Second Line :
City : SPRING
State : TX
Zip : 77388-4123
Country : US
Telephone Number : 281-528-2810
Fax Number :
Provider Business Practice Location Address
First Line : 3850 FM 2920 RD
Second Line :
City : SPRING
State : TX
Zip : 77388-4123
Country : US
Telephone Number : 281-528-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2015
Last Update Date : 09/21/2022

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