Provider Demographics
NPI:1326214719
Name:DUNAWAY, DAWN RENEE (LPN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:RENEE
Last Name:DUNAWAY
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 1:1555 WINDRIDGE PL
Mailing Address - Street 2:APT D
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-4729
Mailing Address - Country:US
Mailing Address - Phone:937-335-0575
Mailing Address - Fax:
Practice Address - Street 1:1555 WINDRIDGE PL
Practice Address - Street 2:APT D
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-4729
Practice Address - Country:US
Practice Address - Phone:937-335-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 112644164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse