MEDICARE: MS. SHEILA A DAWSON RN CNOR RNFA

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	163WR0006X	Registered Nurse First Assistant	RN136333	AZ

General Provider Information

NPI Number	:	1982727855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA A DAWSON RN CNOR RNFA

Provider Business Mailing Address
First Line	:	14620 N FOUNTAIN HILLS BLVD
Second Line	:
City	:	FOUNTAIN HILLS
State	:	AZ
Zip	:	85268-2328
Country	:	US
Telephone Number	:	480-710-8815
Fax Number	:	480-837-8192

Provider Business Practice Location Address
First Line	:	14620 N FOUNTAIN HILLS BLVD
Second Line	:
City	:	FOUNTAIN HILLS
State	:	AZ
Zip	:	85268-2328
Country	:	US
Telephone Number	:	480-710-8815
Fax Number	:	480-837-8192

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

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	07/08/2007

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