Provider Demographics
NPI:1003149204
Name:HAMEL, DAWN P (ARNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:P
Last Name:HAMEL
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 W EAU GALLIE BLVD STE 210B
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3145
Mailing Address - Country:US
Mailing Address - Phone:321-435-1505
Mailing Address - Fax:321-426-7446
Practice Address - Street 1:2290 W EAU GALLIE BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-3133
Practice Address - Country:US
Practice Address - Phone:321-435-1505
Practice Address - Fax:321-426-7446
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14393363LF0000X
FL9351411363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily