1982727855 NPI number — MS. SHEILA A DAWSON RN CNOR RNFA

Table of content: MS. SHEILA A DAWSON RN CNOR RNFA (NPI 1982727855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982727855 NPI number — MS. SHEILA A DAWSON RN CNOR RNFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAWSON
Provider First Name:
SHEILA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN CNOR RNFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KOERNER
Provider Other First Name:
SHEILA
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN CNOR RNFA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982727855
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14620 N FOUNTAIN HILLS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOUNTAIN HILLS
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85268-2328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-710-8815
Provider Business Practice Location Address Fax Number:
480-837-8192
Provider Enumeration Date:
04/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  RN136333 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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