Provider Demographics
NPI:1174270011
Name:DYE, MEGHAN BROWN (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:BROWN
Last Name:DYE
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:NICHOLE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:24020 CAPTAINS CT
Mailing Address - Street 2:
Mailing Address - City:SAUCIER
Mailing Address - State:MS
Mailing Address - Zip Code:39574-3706
Mailing Address - Country:US
Mailing Address - Phone:985-705-2704
Mailing Address - Fax:
Practice Address - Street 1:24020 CAPTAINS CT
Practice Address - Street 2:
Practice Address - City:SAUCIER
Practice Address - State:MS
Practice Address - Zip Code:39574-3706
Practice Address - Country:US
Practice Address - Phone:985-705-2704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS912541363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health