Individual
ELLEN M DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2645 N 3RD ST, HARRISBURG, PA 17110-2001
(717) 782-6800
(717) 782-6801
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 782-6800
(717) 782-6801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP005993D
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP005993D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102666740
—
PA
Enumeration date
02/12/2007
Last updated
12/12/2020
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