Individual
MRS. CREOLE MARIE DYCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, APRN, BC
Contact information
Practice address
11845 ALLISONVILLE RD, FISHERS, IN 46038-2313
(317) 842-2727
Mailing address
11319 SHOREVIEW LN, INDIANAPOLIS, IN 46236-8625
(317) 823-1709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000360A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11446468
CAQH
IN
Enumeration date
03/14/2006
Last updated
09/27/2012
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