Dyer, Ellen M

Dyer, Ellen M is an individual health care provider with primary practice located at 2645 N 3Rd St , Harrisburg PA 17110-2001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Dyer, Ellen M can be contacted via phone (717) 782-6800.

Contact Information

Primary practice address
2645 N 3Rd St Harrisburg PA 17110-2001
Phone: (717) 782-6800
Fax: (717) 782-6801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP005993D Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP005993D Pennsylvania

Profile Details

NPI number 1114068061
LBN Legal business name Dyer, Ellen M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114068061 NPPES
Pennsylvania MEDICAID 102666740

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