Individual
MARGARET MIRCH DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 332-9874
(812) 335-7604
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71012879A
IN
363LP0200X
Pediatric Nurse Practitioner
RN2263889
MA
Other
Enumeration date
07/20/2012
Last updated
09/13/2022
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