Provider Demographics
NPI:1710310206
Name:GIECK, DAWN-MARIE (APRN, ANP-C)
Entity Type:Individual
Prefix:MS
First Name:DAWN-MARIE
Middle Name:
Last Name:GIECK
Suffix:
Gender:F
Credentials:APRN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 CAMP ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-4206
Mailing Address - Country:US
Mailing Address - Phone:504-231-7015
Mailing Address - Fax:
Practice Address - Street 1:1324 CAMP ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-4206
Practice Address - Country:US
Practice Address - Phone:504-231-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA103690-7189363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2439197Medicaid
MS07274523Medicaid