Provider Demographics
NPI:1972816601
Name:ABEL, DAWN M (FNP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:ABEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6283 CLARK RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4100
Mailing Address - Country:US
Mailing Address - Phone:530-877-5083
Mailing Address - Fax:530-877-5085
Practice Address - Street 1:6283 CLARK RD
Practice Address - Street 2:SUITE 5
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4100
Practice Address - Country:US
Practice Address - Phone:530-877-5083
Practice Address - Fax:530-877-5085
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19891363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGMedicare PIN