Provider Demographics
NPI:1760466882
Name:ESTES, DAWN M (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:ESTES
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Gender:F
Credentials:RN, FNP-C
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Other - First Name:
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Mailing Address - Street 1:1600 E EVERGREEN ST
Mailing Address - Street 2:PO BOX 557
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-2400
Mailing Address - Country:US
Mailing Address - Phone:816-632-2101
Mailing Address - Fax:816-649-3383
Practice Address - Street 1:409 W AUBERRY GRV
Practice Address - Street 2:
Practice Address - City:JAMESPORT
Practice Address - State:MO
Practice Address - Zip Code:64648-7189
Practice Address - Country:US
Practice Address - Phone:660-684-6252
Practice Address - Fax:660-684-6254
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2010-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO128609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO429159502Medicaid
MOP00202030OtherMEDICARE RAILROAD
MO785D298Medicare PIN
MOQ23795Medicare UPIN