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NPI Code Detail

MEDICARE: DAWN EETEN P.A.-C

MEDICARE: DAWN EETEN P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1536CO
2363A00000XPhysician Assistant0777SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134116874
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN EETEN P.A.-C
Provider Business Mailing Address
First Line : 2315 E HARMONY RD STE 110
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-8623
Country : US
Telephone Number : 970-482-4373
Fax Number : 970-484-5682
Provider Business Practice Location Address
First Line : 2315 E HARMONY RD STE 110
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-8623
Country : US
Telephone Number : 970-482-4373
Fax Number : 970-484-5682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 01/06/2026

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Directions to “ DAWN EETEN P.A.-C” Practice Location

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