MS. Nicole M Dwyer, PA

NPI #1780860908 in Lewiston, Idaho

Provider Information

NPI Number: 1780860908
Entity Type: Individual
Name: MS. Nicole M Dwyer, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 17, 2008
Last Updated: May 29, 2025

Practice Location

Address: 415 6TH STREET
City: Lewiston
State: Idaho
ZIP Code: 83501-2434
Phone: (208) 750-7507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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