Dickison, Michele Renee

Dickison, Michele Renee is an individual health care provider with primary practice located at 1250 Idaho St , Lewiston ID 83501-1965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dickison, Michele Renee can be contacted via phone (208) 743-7427.

Contact Information

Primary practice address
1250 Idaho St Lewiston ID 83501-1965
Phone: (208) 743-7427
Fax: (208) 743-7421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-1551A Idaho

Profile Details

NPI number 1841687001
LBN Legal business name Dickison, Michele Renee
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Apr 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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