Provider Demographics
NPI:1043630882
Name:PARKER, DAWN ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4837 SHANKWEILER RD
Mailing Address - Street 2:
Mailing Address - City:OREFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18069-2304
Mailing Address - Country:US
Mailing Address - Phone:610-366-0567
Mailing Address - Fax:
Practice Address - Street 1:427 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1721
Practice Address - Country:US
Practice Address - Phone:610-814-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-20
Last Update Date:2014-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN101844L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse