Individual
ALTHEA DANAE DYKIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.018129
IL
363LA2200X
Adult Health Nurse Practitioner
209018129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209018129
—
IL
01
—
MD5062853
DEA
IL
Enumeration date
09/13/2018
Last updated
07/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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