Provider Demographics
NPI:1538508643
Name:DAWKINS, ANGELA (ARNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2932 ROSS CLARK CIR UNIT 330
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1160
Mailing Address - Country:US
Mailing Address - Phone:334-954-1340
Mailing Address - Fax:334-851-2961
Practice Address - Street 1:2000 S COLORADO BLVD BLDG 1-2000
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7910
Practice Address - Country:US
Practice Address - Phone:720-776-2916
Practice Address - Fax:720-815-0354
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-074809363LF0000X, 363LP0808X
FL9285338363LP0808X
COC-APN.0992677-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily