Search › Idaho › 363A00000X
Nicole Dwyer, PA
NPI 1780860908 · on the registry since 2008
Practice
- Address
- 415 6th Street
Lewiston, ID 83501 - Phone
- (208) 750-7507
- Organisation at this address
- Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 2500 W A St Ste 101, Moscow, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AM0700X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho