Provider Demographics
NPI:1689869166
Name:SPARANGIS, DAWN ANNMARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ANNMARIE
Last Name:SPARANGIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 ROOT RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2923
Mailing Address - Country:US
Mailing Address - Phone:414-328-0977
Mailing Address - Fax:
Practice Address - Street 1:2907 ROOT RIVER PKWY
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2923
Practice Address - Country:US
Practice Address - Phone:414-328-0977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI90182-030163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39853200OtherPROVIDER NUMBER