Healthcare Provider Details

I. General information

NPI: 1033903315
Provider Name (Legal Business Name): DAWN M CAHILL APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S 16TH ST
WILMINGTON NC
28401-6419
US

IV. Provider business mailing address

1201 S 16TH ST
WILMINGTON NC
28401-6419
US

V. Phone/Fax

Practice location:
  • Phone: 910-769-4971
  • Fax: 910-769-6015
Mailing address:
  • Phone: 715-340-7674
  • Fax: 910-769-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16687-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: