Stefani Renee Dwyer, RN
Registered Nurse in Boise, ID. Individual provider (NPI-1).
NPI number1053934232
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1053934232
- Entity type
- Individual (NPI-1)
- Name
- Stefani Renee Dwyer
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2020
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 23630 | ID | Yes |
Practice location
500 W Fort StBoise, ID 83702-4501
Phone 208-422-1000 · Fax 208-422-1373
Mailing address
500 W Fort StBoise, ID 83702-4501
Phone 208-422-1000 · Fax 208-422-1373
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