Provider Demographics
NPI:1891063939
Name:DYER, BIRGIT (RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BIRGIT
Middle Name:
Last Name:DYER
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 ELLIOTT ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1817
Mailing Address - Country:US
Mailing Address - Phone:808-838-4200
Mailing Address - Fax:
Practice Address - Street 1:351 ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1817
Practice Address - Country:US
Practice Address - Phone:808-838-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-04
Last Update Date:2011-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3911363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily