Healthcare Provider Details

I. General information

NPI: 1609004894
Provider Name (Legal Business Name): DAWN M TRUETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GATEWAY CTR STE 2600
NEWARK NJ
07102-5323
US

IV. Provider business mailing address

401 ROUTE 73 N BLDG 10, SUITE 320
MARLTON NJ
08053
US

V. Phone/Fax

Practice location:
  • Phone: 856-731-8994
  • Fax:
Mailing address:
  • Phone: 856-424-8091
  • Fax: 856-424-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number26NJ00203900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: