Provider Demographics
NPI:1336972645
Name:DYER, HEATHER ALLYSON (RN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ALLYSON
Last Name:DYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ALLYSON
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:35 ASHUMET RD
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-2056
Mailing Address - Country:US
Mailing Address - Phone:508-680-4268
Mailing Address - Fax:
Practice Address - Street 1:35 ASHUMET RD
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2056
Practice Address - Country:US
Practice Address - Phone:508-680-4268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN236997163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse