Mary Elizabeth Dwyer, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0024169805 Issued in VA

Practice address

9376 Atlee Station Rd
Mechanicsville, VA 23116-2602

Phone

(804) 730-0990

NPI assigned

Jan 3, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1427328863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162602",
            "telephone_number": "804-730-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162602",
            "telephone_number": "804-730-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024169805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "0024169805",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "0001223184",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Dusenbury, LPT
• Duval Integrative Physical Therapy
• Stephen C Duval, MPT
• Dva Healthcare Renal Care Inc (Mechanicsville Dialysis)
• Dwyer Doyle Nailor & Cronin LLC
• James Clayton Dye, MD
• Marian June Dyer, DPT
• Joseph David Dzibela, O.D.
• Robert Stephen Eads, M.D.
• Alexandra R Eagan, MD

• Family Medicine Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.