MEDICARE: DAWN MCEWAN ANP-BC

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	363LA2200X	Adult Health Nurse Practitioner	006063	CT
2	363LA2200X	Adult Health Nurse Practitioner	F306095-1	NY

General Provider Information

NPI Number	:	1548666993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN MCEWAN ANP-BC

Provider Business Mailing Address
First Line	:	2875 ROUTE 35
Second Line	:
City	:	KATONAH
State	:	NY
Zip	:	10536-3181
Country	:	US
Telephone Number	:	914-666-0191
Fax Number	:	914-232-1218

Provider Business Practice Location Address
First Line	:	942 ROUTE 376 STE 201
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6493
Country	:	US
Telephone Number	:	845-765-2366
Fax Number	:	845-765-2367

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

Provider Enumeration Date	:	11/12/2014
Last Update Date	:	09/24/2019

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Directions to “ DAWN MCEWAN ANP-BC” Practice Location

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