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NPI Code Detail

MEDICARE: CAROLE JEAN DWYER A.R.N.P.

MEDICARE: CAROLE JEAN DWYER A.R.N.P.
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
1363LW0102XWomen's Health Nurse PractitionerF080944IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548252331
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE JEAN DWYER A.R.N.P.
Provider Business Mailing Address
First Line : 1000 JACKSON ST
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-1431
Country : US
Telephone Number : 712-252-0501
Fax Number : 712-252-2024
Provider Business Practice Location Address
First Line : 1000 JACKSON ST
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-1431
Country : US
Telephone Number : 712-252-0501
Fax Number : 712-252-2024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 10/19/2007

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