Individual
AMELIA LYN DYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2402 FRIST BLVD STE 200, FORT PIERCE, FL 34950-4838
(772) 465-4651
Mailing address
2402 FRIST BLVD STE 200, FORT PIERCE, FL 34950-4838
(772) 465-4651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9229005
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9229005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105980300
—
FL
01
—
MF561
FL MEDICARE
FL
01
—
MF562
FL MEDICARE
FL
Enumeration date
08/29/2012
Last updated
02/19/2025
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