Provider Demographics
NPI:1942574355
Name:SCHLEGEL, DAWN M (RN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:SCHLEGEL
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 1:3358 COLBY LN
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-1952
Mailing Address - Country:US
Mailing Address - Phone:608-921-2675
Mailing Address - Fax:
Practice Address - Street 1:3358 COLBY LN
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-1952
Practice Address - Country:US
Practice Address - Phone:608-921-2675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI144467-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse