Individual
AMY DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
25 N COTTONWOOD ST, WOODLAND, CA 95695-6609
(530) 661-2942
(530) 661-2763
Mailing address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 661-2942
(530) 661-2763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
598001
CA
163WC1500X
Community Health Registered Nurse
Primary
PHN65319
CA
163WL0100X
Lactation Consultant (Registered Nurse)
7173
CA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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