MEDICARE: MRS. DAWN PAONE RN, APN-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	363LA2200X	Adult Health Nurse Practitioner	26NJ00141000	NJ

General Provider Information

NPI Number	:	1710173554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN PAONE RN, APN-C

Provider Business Mailing Address
First Line	:	49 JILL AVE
Second Line	:
City	:	MARMORA
State	:	NJ
Zip	:	08223-1152
Country	:	US
Telephone Number	:	609-390-8485
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 NEW JERSEY AVE
Second Line	:
City	:	WILDWOOD CREST
State	:	NJ
Zip	:	08260-1216
Country	:	US
Telephone Number	:	609-523-1331
Fax Number	:	609-522-1516

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

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	09/14/2007

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