MEDICARE: RUTH EMILY DYCK NP

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	208M00000X	Hospitalist Physician	5011163	NC

General Provider Information

NPI Number	:	1689141731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH EMILY DYCK NP

Provider Business Mailing Address
First Line	:	2301 ERWIN RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4699
Country	:	US
Telephone Number	:	919-886-2509
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 ERWIN RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4699
Country	:	US
Telephone Number	:	919-684-5441
Fax Number	:

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

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	03/02/2026

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