Healthcare Provider Details

I. General information

NPI: 1992304042
Provider Name (Legal Business Name): DAWN MARIE DECKER-BOWE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 LITTLE RD
NEW PORT RICHEY FL
34655-1105
US

IV. Provider business mailing address

5400 PINEHURST DR.
SPRING HILL FL
34606-3833
US

V. Phone/Fax

Practice location:
  • Phone: 727-372-1005
  • Fax: 727-372-1009
Mailing address:
  • Phone: 352-277-5305
  • Fax: 352-616-0926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11007567
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: