MEDICARE: MONICA DENISE RIVERS-DAWKINS FNP-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
1	363LF0000X	Family Nurse Practitioner	13365	MN
2	363LF0000X	Family Nurse Practitioner	268638	MT
3	363LF0000X	Family Nurse Practitioner	225879	OK
4	207Q00000X	Family Medicine Physician	268638	MT
5	363LF0000X	Family Nurse Practitioner	1-182635	AL
6	207Q00000X	Family Medicine Physician	225879	OK
7	207Q00000X	Family Medicine Physician	13365	MN
8	363LF0000X	Family Nurse Practitioner	APRN.AP.70051505	WA
9	207Q00000X	Family Medicine Physician	1-182635	AL
10	363LF0000X	Family Nurse Practitioner	201923	ND
11	207Q00000X	Family Medicine Physician	201923	ND
12	207Q00000X	Family Medicine Physician	APRN.AP.70051505	WA
13	207Q00000X	Family Medicine Physician	A186535	IA
14	363LF0000X	Family Nurse Practitioner	A186535	IA

General Provider Information

NPI Number	:	1356155410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA DENISE RIVERS-DAWKINS FNP-C

Provider Business Mailing Address
First Line	:	300 COLLINS AVE UNIT 414
Second Line	:
City	:	MANDAN
State	:	ND
Zip	:	58554-6820
Country	:	US
Telephone Number	:	701-969-9070
Fax Number	:	862-298-0750

Provider Business Practice Location Address
First Line	:	1425 MAPLETON AVE
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-5371
Country	:	US
Telephone Number	:	701-969-9070
Fax Number	:	862-298-0750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	03/15/2026

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