Annie Laura Dyke, RN
Individual provider Active NPI Community Health Registered Nurse · Madison, FL
NPI 1376016980 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1376016980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 9273202 (FL)
- Practice address
- 213 SW Third Ave
Madison, FL 32340 - Phone
- (850) 973-5000
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9273202 | FL | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 9273202 | FL | Yes |
Addresses
Primary practice location
213 SW Third Ave
Madison, FL 32340
Mailing address
213 SW Third Ave
Madison, FL 32340
Phone (850) 973-5000
Other providers in Madison, FL
- District School Board of Madison County
- Stephanie Doyle
- Adolfo Cardenas Dulay
- Duramed Medical Services
- Dva Healthcare Renal Care, Inc.
- Richard Edwards
- Emma'S Helping Hands
- Charles Wesley Evans
- Victory Clairissa Elizabeth Evans
- Falo Hill
All providers in Madison, FL · Community Health Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.