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Individual
ANNA TOMASULO DYER
Active
Individual
ANNA TOMASULO DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016624
CA
363LA2100X
Acute Care Nurse Practitioner
17124
TN
363LA2100X
Acute Care Nurse Practitioner
95016624
CA
Other
Enumeration date
10/29/2012
Last updated
01/22/2024
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