Provider Demographics
NPI:1770686685
Name:DYER, ELIZABETH STUART (RN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:STUART
Last Name:DYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 WAGNER BND
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9459
Mailing Address - Country:US
Mailing Address - Phone:919-732-6030
Mailing Address - Fax:
Practice Address - Street 1:CB 7470 CAMPUS HEALTH BUILDING
Practice Address - Street 2:THE UNIVERSITY OF NC AT CHAPEL HILL
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-6573
Practice Address - Fax:919-843-6910
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC071925163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse