Provider Demographics
NPI:1912703786
Name:DYE, NIKIE JO
Entity type:Individual
Prefix:
First Name:NIKIE
Middle Name:JO
Last Name:DYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1760
Mailing Address - Country:US
Mailing Address - Phone:308-760-2242
Mailing Address - Fax:
Practice Address - Street 1:219 MORTON ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1760
Practice Address - Country:US
Practice Address - Phone:308-760-2242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider