Provider Demographics
NPI:1033299920
Name:TAMAGNI, DAWN PATRICIA (NP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:PATRICIA
Last Name:TAMAGNI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 SAN JOSE ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3900
Mailing Address - Country:US
Mailing Address - Phone:831-754-2222
Mailing Address - Fax:831-754-2278
Practice Address - Street 1:254 SAN JOSE ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3900
Practice Address - Country:US
Practice Address - Phone:831-754-2222
Practice Address - Fax:831-754-2278
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12668363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP43105Medicare UPIN