Provider Demographics
NPI:1659199958
Name:DYER, AUBREY V
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:V
Last Name:DYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:V
Other - Last Name:HOSSFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 VAUGHTERS RUN RD
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663-8600
Mailing Address - Country:US
Mailing Address - Phone:740-727-2945
Mailing Address - Fax:
Practice Address - Street 1:388 EVANS RD
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663-8918
Practice Address - Country:US
Practice Address - Phone:740-727-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.187116164W00000X
385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No164W00000XNursing Service ProvidersLicensed Practical Nurse