Individual
MS. NICOLE M DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
415 6TH STREET, LEWISTON, ID 83501-2434
(208) 750-7507
Mailing address
415 6TH STREET, LEWISTON, ID 83501-2434
(208) 750-7507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1980
ID
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA-1980
ID
Other
Enumeration date
01/17/2008
Last updated
05/29/2025
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