BRENDA DYAL


Address: Rr 19 Box 1029, Lake City, FL 32025-9412
Phone: 3866882820

BRENDA DYAL (NPI# 1720296049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720296049
Entity Type Individual
Full Name BRENDA DYAL
Credential ARNP
Practice Address Rr 19 Box 1029
Lake City
FL 32025-9412
Mailing Address 10888 231st Pl
Live Oak
FL 32060-5725
Practice Telephone 3866882820
Enumeration Date 2007-05-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 2967892 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address RR 19 BOX 1029
City LAKE CITY
State FL
Zip Code 32025-9412

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1316442783 Emily Bailey Developmental Therapist 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 2018-03-28
1811446370 Michelle Hart Behavioral Analyst 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 2016-09-26
1922467646 Irene Aponte Moreno Nurse Practitioner 440 Sw Perimeter Glen, Lake City, FL 32025 2016-02-23
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1497132476 Jamecia Legree Registered Nurse 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 2015-04-29
1306249149 Mercy Home Assisted Living Facility LLC Assisted Living Facility 184 S.e. Beech Street, Lake City, FL 32025 2014-10-08
1598174344 Karen Mcdonald Developmental Therapist 4523 Se County Road 252, Lake City, FL 32025 2014-08-06
1275944126 Mohammad Ali Faisal Mdpa Specialist 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 2014-05-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376151530 Anne M Egan Nurse Practitioner 1608 N Oak St, Lake City, MN 55041-9031 2020-07-14
1104462225 Markie Hunter Nurse Practitioner 236 Sw Birch Gln, Lake City, FL 32024-0795 2019-11-24
1255983854 Carlon Darneil Jenkins Nurse Practitioner 126 Williamsburg Ave, Lake City, SC 29560-2734 2019-07-13
1811477078 Jordan Budwick Nurse Practitioner 2970 W Us Highway 90 Ste 120, Lake City, FL 32055-4703 2018-08-17
1508343526 Ashton Cagle Godwin Nurse Practitioner 1236 Mccutcheon Rd, Lake City, SC 29560-5619 2018-07-23
1811411754 David Charles Terrell Jr. Nurse Practitioner 410 Sw Silver Palm Dr, Lake City, FL 32024-6757 2017-08-02
1164811576 Sharma Atkinson-staten Nurse Practitioner 619 Sw Baya Dr Ste 102, Lake City, FL 32025-4204 2015-01-22
1750587002 Jennifer Haith Scott Nurse Practitioner 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 2007-06-25
1902008857 Laura Ann Parks Nurse Practitioner 4241 Nw American Ln, Lake City, FL 32055-4881 2007-06-04
1760693022 Stephanie Kate Finnell Nurse Practitioner 351 Nw Franklin St, Suite 2, Lake City, FL 32055 2007-05-25
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Competitor

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City LAKE CITY
Zip Code 32025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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