Individual
NICOLE DORCAS DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-GNP
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 682-6532
(914) 681-5260
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 607-5726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
591905
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F306443
NY
363LG0600X
Gerontology Nurse Practitioner
F340912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04080291
—
NY
Enumeration date
01/08/2015
Last updated
10/30/2018
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