Individual provider · Type 1 NPI
Civita Dyer
Psychiatric/Mental Health Nurse Practitioner · Endicott, NY
NPI number
1134038565
Active
Practice location
102 N Kelly Ave
Endicott, NY 13760-3427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F408977 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1134038565
Civita Dyer's National Provider Identifier is 1134038565, issued on Sep 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Endicott, NY. The record was last updated on Sep 2, 2026.