Provider Demographics
NPI:1205460003
Name:DAWKINS, DIANNE NICHOLE (CD, PCD, PPCES)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:NICHOLE
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:CD, PCD, PPCES
Other - Prefix:
Other - First Name:NICKY
Other - Middle Name:
Other - Last Name:DAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD, PCD, PPCES
Mailing Address - Street 1:1701 N TREASURE DR APT 5
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4220
Mailing Address - Country:US
Mailing Address - Phone:305-901-9577
Mailing Address - Fax:
Practice Address - Street 1:8325 NE 2ND AVE # 320
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-3815
Practice Address - Country:US
Practice Address - Phone:305-901-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula