Healthcare Provider Details

I. General information

NPI: 1952741340
Provider Name (Legal Business Name): DREW BARNETT DAWKINS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W COUNTY LINE RD STE 100
HIGHLANDS RANCH CO
80129-2342
US

IV. Provider business mailing address

3273 PERRY ST
DENVER CO
80212-1729
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-7878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN290948
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0990776
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP139989
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: