Dyan J Summers, DNP, MPH is a
Nurse Practitioner based in Minnentonka, Minnesota. Dyan J Summers is licensed to practice in Montana (license number 125717) and her current practice location is
9900 Bren Road East, Mail Route Mn 008-b213, Minnentonka, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(646) 319-3707.
NPI number for Dyan J Summers is 1144406968 and her current mailing address is 749 Linden Pl, Idaho Falls, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144406968.
Provider's Profile
| Full Name | Dyan J Summers |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 9900 Bren Road East, Minnentonka, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144406968
- Provider Enumeration Date: 01/10/2008
- Last Update Date: 04/15/2021
Medical Identifiers
Medical identifiers for Dyan J Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144406968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 125717 (Montana) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 303234 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 53753 (Idaho) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 125717 (Montana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 14903 (California) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 441410-1 (New York) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 53753 (Idaho) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dyan J Summers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dyan J Summers, DNP, MPH 749 Linden Pl, Idaho Falls, ID 83401-4966 Ph: (646) 319-3707 | Dyan J Summers, DNP, MPH 9900 Bren Road East, Mail Route Mn 008-b213, Minnentonka, MN 55343 Ph: (646) 319-3707 |
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