| Doctor Name: | MICHELLE DWYER |
| NPI Number: | 1053743641 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN00088801 |
| Business Practice Address: | 22702 Lake View Drive Unit G4 Mountlake Terrace, WA - 980432354 |
| Business Phone Number: | 2069924003 |
| Business Fax Number: | |
| Mailing Address: | 22702 Lake View Drive G4, MOUNTLAKE TERRACE |
| State: | WA |
| Postal Code: | 980432354 |
| Phone Number: | 2069924003 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2013 |
| NPI Last Update Date: | 08/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | RN00088801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |