Healthcare Provider Details

I. General information

NPI: 1447194162
Provider Name (Legal Business Name): BREANNE DAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 EVERGREEN WAY
EVERETT WA
98203-6421
US

IV. Provider business mailing address

19310 93RD DR NW
STANWOOD WA
98292-6120
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN60868036
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: