Provider Demographics
NPI:1609004894
Name:TRUETT, DAWN M (NP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:TRUETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ROUTE 73 N BLDG 10, SUITE 320
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-424-8091
Mailing Address - Fax:856-424-0704
Practice Address - Street 1:1307 WHITE HORSE RD STE A100
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2100
Practice Address - Country:US
Practice Address - Phone:856-424-8091
Practice Address - Fax:856-424-0704
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00203900363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology