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NPI Code Detail

MEDICARE: DAWN CAROLINE PEASE ANP, WHCNP

MEDICARE: DAWN CAROLINE PEASE ANP, WHCNP
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
1363L00000XNurse Practitioner003232CT
2363LA2200XAdult Health Nurse PractitionerAP115802TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174514723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN CAROLINE PEASE ANP, WHCNP
Provider Business Mailing Address
First Line : 2901 MONTOPOLIS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78741-6411
Country : US
Telephone Number : 512-978-9901
Fax Number : 512-901-9765
Provider Business Practice Location Address
First Line : 2901 MONTOPOLIS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78741-6411
Country : US
Telephone Number : 512-978-9901
Fax Number : 512-901-9765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/21/2022

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Directions to “ DAWN CAROLINE PEASE ANP, WHCNP” Practice Location

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