Individual
ELIZABETH HERTA DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Mailing address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60571441
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5020
AZ
363LF0000X
Family Nurse Practitioner
AP5019
AZ
Other
Enumeration date
06/21/2013
Last updated
06/17/2025
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