DR. EVAN LUCAS DYCE


Address: 1107 Hart Blvd, Monticello, MN 55362-8538
Phone: 7632712200

DR. EVAN LUCAS DYCE (NPI# 1013437110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013437110
Entity Type Individual
Full Name DR. EVAN LUCAS DYCE
Credential CNP
Practice Address 1107 Hart Blvd
Monticello
MN 55362-8538
Mailing Address 2012 Chardonnay Ln Nw
Rochester
MN 55901-1901
Practice Telephone 7632712200
Practice Fax Number 7632711799
Mailing Telephone (507) 828-6318
Enumeration Date 2017-06-21
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5196 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1414 S Oak Ave Ste 6a, Owatonna, MN 550603957 5074138050

Office Location

Street Address 1107 HART BLVD
City MONTICELLO
State MN
Zip Code 55362-8538

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538128731 Jennifer Lynn Fisher Occupational Therapist 1107 Hart Blvd, Monticello, MN 55362-8538 2006-03-17
1558897322 Neil De Cleene Physical Therapist 1107 Hart Blvd, Monticello, MN 55362-8538 2017-05-11
1598140881 Kristy Peterfeso Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2015-07-28
1568845238 Kelsey J King Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2015-06-30
1629484449 Thomas Lyscio Physical Therapist 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 2014-07-02
1396159976 Shelly A..j. Neiman Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2014-06-11
1467877688 Ali Margaret Wells Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2014-02-25
1558600874 Centracare Health System-nr LLC Clinic/Center 1107 Hart Blvd, Monticello, MN 55362-8538 2013-02-06
1487931622 Kristin Suzanne Soderholm Occupational Therapist 1107 Hart Blvd, Monticello, MN 55362-8538 2011-11-15
1629240809 Karmyn Larson Occupational Therapist 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 2008-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275034886 Great River Endodontics Dentist 9381 Cedar St., Monticello, MN 55362 2018-02-28
1467994962 Jessica Borgstrom Advanced Practice Midwife 1001 Hart Blvd #100, Monticello, MN 55362 2016-11-15
1972922078 Ashby Optometry PC Optometrist 1447 East 7th Street, Monticello, MN 55362 2014-04-16
1740612621 Sarah Rowe Physical Therapist 1260 Mn-25, Monticello, MN 55362 2013-08-02
1144573775 Kelley M Mcgowan Physical Therapist 211 Hwy 25, Monticello, MN 55362 2012-10-19
1275801581 Roger William Hedtke Pharmacist 135 East Broadway, Monticello, MN 55362 2011-12-01
1811299019 Pamela Marie Bertram Social Worker 228 W Broadway St, Monticello, MN 55362 2010-11-22
1265768220 Back 2 Health Chiropractic, P.a. Chiropractor 1125 South Cedar St, Suite 109, Monticello, MN 55362 2009-10-27
1538328059 Lakeland Family Dental Dentist 106 Broadway Street East, Monticello, MN 55362 2008-06-09
1205038163 Buffalo Dental Center Dentist 106 1 In A Half W Broadway, Monticello, MN 55362 2007-06-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457968406 Sojnia Irene Johnson Nurse Practitioner 561 Country Oaks Ln, Monticello, KY 42633-5145 2020-09-24
1023622081 Marty Kyle Ballard Sr. Nurse Practitioner 698 Lower Brookhaven Rd, Monticello, MS 39654-9627 2020-09-06
1659918936 Shelby Mcmickle Nurse Practitioner 170 Brixie Rd, Monticello, AR 71655-9096 2019-12-05
1104462712 Ashley Leanna Huitt Nurse Practitioner Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 2019-11-19
1053964965 Faith Healthcare Inc Nurse Practitioner 126 Franklin Drive, Monticello, KY 42633 2019-07-19
1740757145 Karla Marie Wallace Nurse Practitioner 314 Main St Ste B, Monticello, MS 39654-3702 2018-10-24
1770039752 Jesse Bone Nurse Practitioner 766 Hl Ross Drive, Monticello, AR 71655 2016-08-30
1295196137 Miranda Tompkins Nurse Practitioner 1215 N Main St Ste 2, Monticello, KY 42633-2900 2016-03-18
1285065292 Teresa Conerly Nurse Practitioner 430 W Broad St, Monticello, MS 39654-7723 2013-12-02
1487089546 Doretha Bournes Nurse Practitioner 354 Cub Brown Rd, Monticello, MS 39654-7505 2013-09-09
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Competitor

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City MONTICELLO
Zip Code 55362

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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