Provider Demographics
NPI:1609220110
Name:STRAIN, DAWN (FNP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:STRAIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 TEXAS BLVD
Mailing Address - Street 2:STE 401
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-5113
Mailing Address - Country:US
Mailing Address - Phone:903-794-8820
Mailing Address - Fax:903-794-8878
Practice Address - Street 1:1002 TEXAS BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501
Practice Address - Country:US
Practice Address - Phone:903-794-8820
Practice Address - Fax:903-794-8878
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily