Individual
RUTH ELLEN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1949 HOSPITAL DR, MARTINSVILLE, IN 46151-1861
(765) 342-8383
Mailing address
PO BOX 1557, MARTINSVILLE, IN 46151-0557
(765) 342-8383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28124397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200971330
—
IN
Enumeration date
05/31/2009
Last updated
12/04/2020
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