Provider Demographics
NPI:1205683778
Name:DYE, SYDNEY MARIE ELISE (LPN)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MARIE ELISE
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 1:528 HIGHWAY 49 N
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-4087
Mailing Address - Country:US
Mailing Address - Phone:870-560-5260
Mailing Address - Fax:870-560-5019
Practice Address - Street 1:528 HIGHWAY 49 N
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-4087
Practice Address - Country:US
Practice Address - Phone:870-560-5260
Practice Address - Fax:870-560-5019
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR225537164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse