Provider Demographics
NPI:1952064024
Name:MCCLOSKEY, DAWN RAUCH (NP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:RAUCH
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 CONRAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3413
Mailing Address - Country:US
Mailing Address - Phone:504-460-2480
Mailing Address - Fax:
Practice Address - Street 1:517 CONRAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3413
Practice Address - Country:US
Practice Address - Phone:504-460-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAF09210070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily