Individual
MS. MAUREEN LOUISE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
MCCLURE 5 FLETCHERALLEN HEALTHCARE, 111COLCHESTER AVE, BURLINGTON, VT 05401-1429
(802) 847-2804
(802) 847-2806
Mailing address
90 HAYES AVE, SOUTH BURLINGTON, VT 05403-7251
(802) 860-7030
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1010010339
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP1099
—
VT
Enumeration date
05/23/2007
Last updated
07/08/2007
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