Dwyer, Nicole M

Dwyer, Nicole M is an individual health care provider with primary practice located at 2500 W A St Ste 101 , Moscow ID 83843-6000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dwyer, Nicole M can be contacted via phone (208) 882-0540.

Contact Information

Primary practice address
2500 W A St Ste 101 Moscow ID 83843-6000
Phone: (208) 882-0540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1980 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1980 Idaho

Profile Details

NPI number 1780860908
LBN Legal business name Dwyer, Nicole M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Aug 3rd, 2021 - about 5 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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