Doctor Name: | MS. MAUREEN LOUISE DWYER |
NPI Number: | 1003026667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 1010010339 |
Business Practice Address: | Mcclure 5 Fletcherallen Healthcare 111colchester Ave Burlington, VT - 054011429 |
Business Phone Number: | 8028472804 |
Business Fax Number: | 8028472806 |
Mailing Address: | 90 Hayes Ave, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054037251 |
Phone Number: | 8028607030 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 1010010339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |