Individual
GRACE DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
5211 GLENBRIER DR, CHARLOTTE, NC 28212-4442
(203) 768-6708
Mailing address
5211 GLENBRIER DR, CHARLOTTE, NC 28212-4442
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
DYKE-2Y3FE
NC
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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