Individual
CARLA DIANNE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
374 N KY 7, SANDY HOOK, KY 41171
(606) 738-6163
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
357938
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3007520
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074587
—
OH
05
—
3810030197
—
WV
05
—
7100226930
—
KY
Enumeration date
09/06/2012
Last updated
01/14/2022
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