Katelyn Elaine Dye
Nurse Practitioner - Primary Care
1005 Mar Walt Dr
Fort Walton Beach
, Florida 32547-6707
Katelyn Elaine Dye
Nurse Practitioner - Primary Care
1005 Mar Walt Dr
Fort Walton Beach
, Florida 32547-6707
(843) 709-0739
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Katelyn Elaine Dye
- 2802 Ultra Ln
- Crestview, FL
- Zip : 32539-8370
- Phone : (843) 709-0739
Second Address
- Katelyn Elaine Dye
- 1005 Mar Walt Dr
- Fort Walton Beach, FL
- Zip : 32547-6707
- Phone : (843) 709-0739
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN11005716 | FL |
National Provider Identifier
| NPI | 1023658408 |
|---|---|
| Provider Name | Katelyn Elaine Dye |
| First Address | Crestview, FL 32539-8370 |
| Second Address | Fort Walton Beach, FL 32547-6707 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2020 |
| Last Update Date | 31/07/2020 |
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.