Healthcare Provider Details

I. General information

NPI: 1548666993
Provider Name (Legal Business Name): DAWN MCEWAN ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 ROUTE 376 STE 201
WAPPINGERS FALLS NY
12590-6493
US

IV. Provider business mailing address

2875 ROUTE 35
KATONAH NY
10536-3181
US

V. Phone/Fax

Practice location:
  • Phone: 845-765-2366
  • Fax: 845-765-2367
Mailing address:
  • Phone: 914-666-0191
  • Fax: 914-232-1218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number006063
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF306095-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: