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NPI Code Detail

MEDICARE: MICHELLE DWYER

MEDICARE: MICHELLE DWYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0102XMaternal Newborn Registered NurseL1-0030789DE

General Provider Information

NPI Number : 1114479805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DWYER
Provider Business Mailing Address
First Line : 902 GALLATIN CT
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9277
Country : US
Telephone Number : 302-750-7785
Fax Number :
Provider Business Practice Location Address
First Line : 424 SAVANNAH RD
Second Line :
City : LEWES
State : DE
Zip : 19958-1462
Country : US
Telephone Number : 302-645-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 10/27/2016

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Directions to “ MICHELLE DWYER ” Practice Location

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