Healthcare Provider Details

I. General information

NPI: 1255078952
Provider Name (Legal Business Name): DAWN MICHELE ELDRED DNP, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FAIRFIELD DR
SENECA PA
16346-2130
US

IV. Provider business mailing address

120 UNION ST
TITUSVILLE PA
16354-1158
US

V. Phone/Fax

Practice location:
  • Phone: 814-676-7900
  • Fax:
Mailing address:
  • Phone: 814-676-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP025662
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: