Carolyn Theresa Dixon
Nurse Practitioner - Family Medicine
6559 Wilson Mills Rd 106
Mayfield Village
, Ohio 44143-6402
Carolyn Theresa Dixon
Nurse Practitioner - Family Medicine
6559 Wilson Mills Rd 106
Mayfield Village
, Ohio 44143-6402
(440) 460-2833
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Carolyn Theresa Dixon
- 6559 Wilson Mills Rd 106
- Mayfield Village, OH
- Zip : 44143-6402
- Fax : (440) 460-2833
- Phone : (440) 449-1540
Second Address
- Carolyn Theresa Dixon
- 6559 Wilson Mills Rd 106
- Mayfield Village, OH
- Zip : 44143-6402
- Fax : (440) 460-2833
- Phone : (440) 449-1540
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA. 14271-NP | OH |
National Provider Identifier
| NPI | 1003153644 |
|---|---|
| Provider Name | Carolyn Theresa Dixon |
| First Address | Mayfield Village, OH 44143-6402 |
| Second Address | Mayfield Village, OH 44143-6402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2013 |
| Last Update Date | 04/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.