Addison, Dawn

Addison, Dawn is an individual health care provider with primary practice located at 9550 Us Highway 19 Ste 202 , Port Richey FL 34668-4648. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Addison, Dawn can be contacted via phone (727) 494-7609.

Contact Information

Primary practice address
9550 Us Highway 19 Ste 202 Port Richey FL 34668-4648
Phone: (727) 494-7609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2949702 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2949702 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP2949702 Florida

Profile Details

NPI number 1558743583
LBN Legal business name Addison, Dawn
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2015
Last updated Sep 12th, 2023 - about 3 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 1558743583 NPPES
Florida MEDICAID 020623800
Florida MEDICAID 023843800

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