Provider Demographics
NPI:1285189795
Name:HOPE-CAMPBELL, DAWN KAREN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:KAREN
Last Name:HOPE-CAMPBELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:KAREN
Other - Last Name:HOPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12051 132ND ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-2923
Mailing Address - Country:US
Mailing Address - Phone:718-529-8633
Mailing Address - Fax:
Practice Address - Street 1:12051 132ND ST
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-2923
Practice Address - Country:US
Practice Address - Phone:718-529-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY682778163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse