Provider Demographics
NPI:1629332192
Name:KAISER, DAWN KARENA (APRN- FAMILY)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:KARENA
Last Name:KAISER
Suffix:
Gender:F
Credentials:APRN- FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3549
Mailing Address - Country:US
Mailing Address - Phone:504-383-8559
Mailing Address - Fax:504-371-5162
Practice Address - Street 1:1125 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3549
Practice Address - Country:US
Practice Address - Phone:504-383-8559
Practice Address - Fax:504-371-5162
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN137659163W00000X
LAAP06929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse