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Melissa J. Dye
Clinical Nurse Specialist in Peoria, Illinois
NPI 1467575092

Melissa J. Dye is a Clinical Nurse Specialist based in Peoria, IL. Melissa J. Dye practices in Peoria, IL. The NPI Number for Melissa J. Dye is 1467575092 and holds a License No. 209-006545 (Illinois).

The current practice location address for Melissa J. Dye is 2805 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-624-9400 and via fax at 309-624-2280.

Location: 2805 N Knoxville Ave, Peoria, IL, 61604-2869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467575092
Provider Name
Melissa J. Dye
Credential
Provider Entity Type
Individual
Gender
Female
Address
2805 N Knoxville Ave, Peoria, IL, 61604-2869
Phone Number
309-624-9400
Fax Number
309-624-2280
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00397410 01 IL RR INDIVIDUAL #
809840 01 IL MEDICARE GROUP #
CA4079 01 IL RR GROUP #
institution
Provider Business Practice Location Address Details
Address
2805 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61604-2869
Phone Number
309-624-9400
Fax Number
309-624-2280
person
Provider Business Mailing Address Details
Address
2805 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61604-2869
Phone Number
309-624-9400
Fax Number
309-624-2280
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
209-006545 (Illinois)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Medical-Surgical
Taxonomy
364SM0705X
License No.
209-006545 (Illinois)
Definition
Definition to come...
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