MEDICARE: DAWN DALEN

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1508702994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN DALEN

Provider Business Mailing Address
First Line	:	217 WINNEFRED ST W
Second Line	:
City	:	MICHIGAN
State	:	ND
Zip	:	58259-7728
Country	:	US
Telephone Number	:	218-230-3995
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 WINNEFRED ST W
Second Line	:
City	:	MICHIGAN
State	:	ND
Zip	:	58259-7728
Country	:	US
Telephone Number	:	218-230-3995
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “ DAWN DALEN ” Practice Location

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