Healthcare Provider Details

I. General information

NPI: 1720856115
Provider Name (Legal Business Name): DAWN MELISSA KEYES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 CORLISS LN
COLEBROOK NH
03576-3206
US

IV. Provider business mailing address

59 PAGE HILL RD
BERLIN NH
03570-3531
US

V. Phone/Fax

Practice location:
  • Phone: 603-237-5899
  • Fax:
Mailing address:
  • Phone: 603-752-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number048182-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: