MEDICARE: DAWN SPRINGER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	TP006335M	PA

General Provider Information

NPI Number	:	1134129604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN SPRINGER CRNP

Provider Business Mailing Address
First Line	:	1086 FRANKLIN ST
Second Line	:
City	:	JOHNSTOWN
State	:	PA
Zip	:	15905-4305
Country	:	US
Telephone Number	:	814-534-1555
Fax Number	:	814-255-2961

Provider Business Practice Location Address
First Line	:	1020 FRANKLIN ST
Second Line	:
City	:	JOHNSTOWN
State	:	PA
Zip	:	15905-4109
Country	:	US
Telephone Number	:	814-534-9132
Fax Number	:	814-534-3494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	07/08/2007

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