Healthcare Provider Details

I. General information

NPI: 1780836767
Provider Name (Legal Business Name): DAWN M AUSTIN ADN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HANOVER ST SUITE 2
LEBANON NH
03766-1312
US

IV. Provider business mailing address

9 HANOVER ST SUITE 2
LEBANON NH
03766-1312
US

V. Phone/Fax

Practice location:
  • Phone: 603-448-0126
  • Fax: 603-448-0129
Mailing address:
  • Phone: 603-448-0126
  • Fax: 603-448-0129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number059839-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: