Provider Demographics
NPI:1285344085
Name:DYE, JULIA LOUISE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LOUISE
Last Name:DYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 RIDGEVIEW DR APT 1
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-8303
Mailing Address - Country:US
Mailing Address - Phone:801-647-8097
Mailing Address - Fax:
Practice Address - Street 1:115 RIDGEVIEW DR APT 1
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-8303
Practice Address - Country:US
Practice Address - Phone:801-647-8097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant