Individual
MARIA DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4505 FAIR MEADOWS LN STE 215, RALEIGH, NC 27607-6449
(919) 944-9935
Mailing address
4505 FAIR MEADOWS LN STE 215, RALEIGH, NC 27607-6449
(919) 944-9935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704281978
MI
363LF0000X
Family Nurse Practitioner
4704281978
MI
363LF0000X
Family Nurse Practitioner
Primary
5015545
NC
363LF0000X
Family Nurse Practitioner
APRN.CNP.022950
OH
Other
Enumeration date
07/24/2017
Last updated
11/09/2022
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