Provider Demographics
NPI:1972624328
Name:DWYER, ALISON BRIDGET (APRN)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:BRIDGET
Last Name:DWYER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 863
Mailing Address - Street 2:
Mailing Address - City:PROVINCETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02657-0863
Mailing Address - Country:US
Mailing Address - Phone:401-263-8735
Mailing Address - Fax:617-812-9141
Practice Address - Street 1:26 COURT ST RM 4
Practice Address - Street 2:
Practice Address - City:PROVINCETOWN
Practice Address - State:MA
Practice Address - Zip Code:02657-1322
Practice Address - Country:US
Practice Address - Phone:401-263-8735
Practice Address - Fax:617-812-9141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPPNS00076163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult