Individual
HEATHER MARIE DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16551 ROUTE 957, BEAR LAKE, PA 16402-3519
(814) 671-8108
Mailing address
16551 ROUTE 957, BEAR LAKE, PA 16402-3519
(814) 671-8108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
699937
NY
163W00000X
Registered Nurse
RN665940
PA
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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