MARIANNE DYKE


Address: 125 High St, Oliver Tower, 18th Floor, Boston, MA 02110-2704
Phone: 6175268888

MARIANNE DYKE (NPI# 1922498658) 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) 1922498658
Entity Type Individual
Full Name MARIANNE DYKE
Credential NP
Practice Address 125 High St
Oliver Tower, 18th Floor
Boston
MA 02110-2704
Practice Telephone 6175268888
Practice Fax Number 6175260188
Mailing Telephone 6175268888
Mailing Fax Number 6175260188
Enumeration Date 2015-02-03
Last Update Date 2015-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
163624 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA RN LICENSE 163624 01

Office Location

Street Address 125 HIGH ST
OLIVER TOWER, 18TH FLOOR
City BOSTON
State MA
Zip Code 02110-2704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295070258 Ehe International Clinic/Center 125 High St, Oliver Tower, 18th Floor, Boston, MA 02110-2704 2012-12-03
1790059988 Ehe International Boston Clinic/Center 125 High St, Oliver Tower, 18th Floor, Boston, MA 02110-2704 2012-03-06
1215087259 Jill Barbara Schiff Internal Medicine 125 High St, Oliver Tower 18th Floor, Boston, MA 02110-2704 2007-01-11
1174697817 Carol Ann Mcshane Social Worker 125 High St, Verizon Eap-#482, Boston, MA 02110-2704 2006-11-17

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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City BOSTON
Zip Code 02110

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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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