Dwyer, Maureen Lorraine

Dwyer, Maureen Lorraine is an individual health care provider with primary practice located at 200 Medical Village Dr , Edgewood KY 41017-3408. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dwyer, Maureen Lorraine can be contacted via phone (859) 301-5901.

Contact Information

Primary practice address
200 Medical Village Dr Edgewood KY 41017-3408
Phone: (859) 301-5901
Fax: (859) 301-5940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1097962 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003706 Kentucky

Profile Details

NPI number 1114927704
LBN Legal business name Dwyer, Maureen Lorraine
Credentials DNSC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114927704 NPPES
Kentucky MEDICAID 78007267

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