Provider Demographics
NPI:1629798764
Name:CATTELL, DAWN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CATTELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 MOLINE MARTIN RD
Mailing Address - Street 2:
Mailing Address - City:WALBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43465-9759
Mailing Address - Country:US
Mailing Address - Phone:419-708-0267
Mailing Address - Fax:
Practice Address - Street 1:5151 MOLINE MARTIN RD
Practice Address - Street 2:
Practice Address - City:WALBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43465-9759
Practice Address - Country:US
Practice Address - Phone:419-708-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide