Healthcare Provider Details

I. General information

NPI: 1932401593
Provider Name (Legal Business Name): DAWN'S FIRST ASSISTANT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8508 GREENWELL SPRINGS RD APT 209
BATON ROUGE LA
70814-2425
US

IV. Provider business mailing address

PO BOX 45319
BATON ROUGE LA
70895-4319
US

V. Phone/Fax

Practice location:
  • Phone: 225-505-3225
  • Fax: 225-926-0935
Mailing address:
  • Phone: 225-505-3225
  • Fax: 225-926-0935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number110507
License Number StateLA

VIII. Authorized Official

Name: MRS. DAWN DEBORRAH UKPONG
Title or Position: OWNER
Credential: RNFA
Phone: 225-505-3225