Blue, Dawn Irene
Blue, Dawn Irene is an individual health care provider with primary practice located at 55887 Yucca Valley Trail , Yucca Valley CA 92284. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Blue, Dawn Irene can be contacted via phone (760) 447-1200.Contact Information
Primary practice address
55887 Yucca Valley Trail
Yucca Valley CA 92284
Phone: (760) 447-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 391944 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 95012600 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 95012600 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95012600 | California |
Profile Details
| NPI number | 1821646746 |
|---|---|
| LBN Legal business name | Blue, Dawn Irene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2019 |
| Last updated | Sep 4th, 2019 - about 7 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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