# PROF. MARYELLEN KATHERINE DYE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366461451
- **Gender:** F
- **Credential:** RN, PHD, CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | TP-004283-B | PA | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 021025LHO | (PIN) | — |