Individual
NANCY KATHERINE DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8172 N 22ND DR, PHOENIX, AZ 85021-7890
(480) 383-9025
Mailing address
8172 N 22ND DR, PHOENIX, AZ 85021-7890
(480) 383-9025
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10020464
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP2580
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187132
—
AZ
01
—
Z146739
MEDICARE PTAN
AZ
Enumeration date
02/13/2007
Last updated
07/15/2024
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