Casey Michelle Dyer, LPN

Individual provider Active NPI Licensed Practical Nurse · Carey, OH

NPI 1487980645 · NPPES record last updated Oct 22, 2009

Key facts

NPI
1487980645
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN 131933 IV (OH)
Practice address
164 Newhard St
Carey, OH 43316-1061
Phone
(419) 672-1718
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN 131933 IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 131933 IV OH Yes

Addresses

Primary practice location

164 Newhard St
Carey, OH 43316-1061

Mailing address

164 Newhard St
Carey, OH 43316-1061
Phone (419) 672-1718

Other providers in Carey, OH

All providers in Carey, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.