Individual
MICHELE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
216 N G ST, ABERDEEN, WA 98520-5228
(360) 538-2100
(360) 538-2106
Mailing address
216 N G ST, ABERDEEN, WA 98520-5228
(360) 538-2100
(360) 538-2106
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
509212G
WA
163WS0200X
School Registered Nurse
Primary
RN00172638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00172638
RN
WA
Enumeration date
09/12/2014
Last updated
09/12/2014
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