Provider Demographics
NPI:1164274445
Name:ALEXANDER, DAWN A (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:A
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W CENTRAL AVE UNIT 563
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33882-7024
Mailing Address - Country:US
Mailing Address - Phone:863-236-9220
Mailing Address - Fax:
Practice Address - Street 1:111 W CENTRAL AVE UNIT 563
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33882-7024
Practice Address - Country:US
Practice Address - Phone:863-236-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9268988163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse