Provider Demographics
NPI:1356698492
Name:DWIRE, ALYSON LYNDSAY (FNP-BC)
Entity type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:LYNDSAY
Last Name:DWIRE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8679 B DR N
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-7516
Mailing Address - Country:US
Mailing Address - Phone:269-967-1428
Mailing Address - Fax:
Practice Address - Street 1:3520 COVINGTON RD
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-1803
Practice Address - Country:US
Practice Address - Phone:269-924-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704265237363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily