Healthcare Provider Details

I. General information

NPI: 1730852773
Provider Name (Legal Business Name): DAWN MICHELLE PAPP RN, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4637 VINCENNES BLVD STE 4
CAPE CORAL FL
33904-9109
US

IV. Provider business mailing address

1035 EL VALLE AVE
FORT MYERS FL
33919-2611
US

V. Phone/Fax

Practice location:
  • Phone: 239-218-0322
  • Fax:
Mailing address:
  • Phone: 239-218-0322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA26021
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN9561299
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: