Healthcare Provider Details

I. General information

NPI: 1235610031
Provider Name (Legal Business Name): MAGDALENA TATIANA DAWSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TANIA DAWSON

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST STE 100
DES MOINES IA
50309-1409
US

IV. Provider business mailing address

1215 PLEASANT ST STE 100
DES MOINES IA
50309-1409
US

V. Phone/Fax

Practice location:
  • Phone: 515-461-2223
  • Fax:
Mailing address:
  • Phone: 515-336-6557
  • Fax: 515-461-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA183409
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018029473
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-78105
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: