MRS. Michele Renee Dickison, NP-C

NPI #1841687001 in Lewiston, Idaho

Provider Information

NPI Number
1841687001
Entity Type
Individual
Name
MRS. Michele Renee Dickison, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP-C
Enumeration Date
Apr 24, 2015
Last Updated
Apr 24, 2015

Practice Location

Address
1250 IDAHO ST
State
Idaho
ZIP Code
83501-1965
Phone
(208) 743-7427

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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