Provider Demographics
NPI:1891079190
Name:FROONJIAN, DAWN C (FNP)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:C
Last Name:FROONJIAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 TOLLAND AVE.
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076
Mailing Address - Country:US
Mailing Address - Phone:860-272-2960
Mailing Address - Fax:860-684-8756
Practice Address - Street 1:201 CHESTNUT HILL RD.
Practice Address - Street 2:
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076
Practice Address - Country:US
Practice Address - Phone:860-272-2960
Practice Address - Fax:860-684-8756
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily