Provider Demographics
NPI:1215571914
Name:BURWICK, DAWN CUMBIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:CUMBIE
Last Name:BURWICK
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-2323
Mailing Address - Country:US
Mailing Address - Phone:210-275-5583
Mailing Address - Fax:
Practice Address - Street 1:626 AVE F
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:TX
Practice Address - Zip Code:76856
Practice Address - Country:US
Practice Address - Phone:210-275-5583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143847363LF0000X
TX32315363LF0000X
TX581706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily