Provider Demographics
NPI:1578567806
Name:TENDLER, DAWN E (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:E
Last Name:TENDLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916B HERITAGE VLG
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-5389
Mailing Address - Country:US
Mailing Address - Phone:203-267-7785
Mailing Address - Fax:
Practice Address - Street 1:27 HOSPITAL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5954
Practice Address - Country:US
Practice Address - Phone:203-743-5024
Practice Address - Fax:203-743-5203
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000140367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered