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Contact Information

ELLEN M DYER, CRNP
2645 N 3RD ST
HARRISBURG, PA17110-2001
 Phone: 717-782-6800
 Fax: 717-782-6801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELLEN M DYER · (Female)

NPI Number 1114068061
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/12/2007
Last updated 12/12/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP005993D
  • PA Medicaid 102666740
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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