NICOLE M DWYER

LEWISTON, ID
NPI1780860908
Professional NameNICOLE M DWYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1980)
Additional Taxonomies363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1980)
Enumeration Date2008-01-17
Last Update Date2025-05-29
Business Address
Ms. NICOLE M DWYER PA
415 6TH STREET
LEWISTON, ID 83501-2434
Phone number: 208-750-7507
Mailing Address
Ms. NICOLE M DWYER PA
415 6TH STREET
LEWISTON, ID 83501-2434
Phone number: 208-750-7507