Most Relevant Information
Provider Data
NPI Number: | 1003468760 |
Provider Name: | MOLLY B DWYER APRN, CNP |
Entity Type: | Individual |
Taxonomy Code: | 363LP0808X |
Specialty: | Nurse Practitioner |
License Number: | CNP6756 |
Most Important Dates
Enumeration Date: | 07/12/2019 |
Last Updated: | 08/07/2019 |
Provider Practice Location
400 E 3RD ST
DULUTH
MN
558051951
Practice Location Phone/Fax
Phone: | 2187868364 |
Fax: |
Provider Mailing Location
1702 UNIVERSITY DR S
FARGO
ND
581034940
Provider Mailing Phone/Fax
Phone: | |
Fax: |