Provider Demographics
NPI:1336952993
Name:DYE, AYLA MARIE
Entity type:Individual
Prefix:
First Name:AYLA
Middle Name:MARIE
Last Name:DYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AYLA
Other - Middle Name:MARIE
Other - Last Name:GOETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3412 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-5638
Mailing Address - Country:US
Mailing Address - Phone:641-980-5001
Mailing Address - Fax:
Practice Address - Street 1:11314 ELM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4733
Practice Address - Country:US
Practice Address - Phone:402-981-8593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide