Individual
CASEY DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
410 CRANBERRY ST, SUITE 210, ERIE, PA 16507-1067
(814) 455-7827
(814) 455-7831
Mailing address
410 CRANBERRY ST, SUITE 210, ERIE, PA 16507-1067
(814) 455-7827
(814) 455-7831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN276535
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29450280
PA DRIVER'S LINCENSE
PA
Enumeration date
08/26/2010
Last updated
08/26/2010
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