Provider Demographics
NPI:1356449318
Name:EPTER, DAWN ANNE (RPA-C)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:ANNE
Last Name:EPTER
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2769 TOSHACH AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1538
Mailing Address - Country:US
Mailing Address - Phone:702-837-5862
Mailing Address - Fax:
Practice Address - Street 1:600 WHITNEY RANCH DR
Practice Address - Street 2:SUITE D-16
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2611
Practice Address - Country:US
Practice Address - Phone:702-804-1212
Practice Address - Fax:702-804-1273
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA888363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVQ42456Medicare UPIN