SUSAN R DYLE PA NPI 1417977505

NPI Information

  • NPI: 1417977505
  • Provider Name: SUSAN R DYLE, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 619 N 500 W
    PROVO, UT
    ZIP 84601
  • Phone: (801) 852-9440

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NPI Details

Susan R Dyle, PA is a medical physician assistant in Provo, UT. Susan R Dyle, PA NPI is 1417977505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

619 N 500 W
PROVO, UT
ZIP 84601-547
Phone: (801) 852-9440
Fax: (801) 852-9449

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1754051206UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005556732MEDICARE PINUTAH
2006900410MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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