Provider Demographics
NPI:1003226747
Name:WHITE, DAWN ELIZABETH (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:ELIZABETH
Other - Last Name:HARDY-WHITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2901 W SAINT ISABEL ST
Mailing Address - Street 2:SUITE A3
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6371
Mailing Address - Country:US
Mailing Address - Phone:813-872-4401
Mailing Address - Fax:
Practice Address - Street 1:2901 W SAINT ISABEL ST
Practice Address - Street 2:SUITE A3
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6371
Practice Address - Country:US
Practice Address - Phone:813-872-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-03
Last Update Date:2014-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9295458363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care