Provider Demographics
NPI:1811024334
Name:DYE, JOYCE (LPN)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:DYE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4383 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-1809
Mailing Address - Country:US
Mailing Address - Phone:414-871-8883
Mailing Address - Fax:414-871-8950
Practice Address - Street 1:4383 N 27TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1809
Practice Address - Country:US
Practice Address - Phone:414-871-8883
Practice Address - Fax:414-871-8950
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42020500Medicaid