Provider Demographics
NPI:1255756342
Name:DEGRASSE, DAWN H (NP (NURSE PRACTITION)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:H
Last Name:DEGRASSE
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Gender:F
Credentials:NP (NURSE PRACTITION
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Mailing Address - Street 1:TONAWANDA MEDICAL PRACTICE, P.C.
Mailing Address - Street 2:2800 SWEETHOME RD. #6
Mailing Address - City:WEST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1300
Mailing Address - Country:US
Mailing Address - Phone:716-691-1300
Mailing Address - Fax:716-691-5044
Practice Address - Street 1:TONAWANDA MEDICAL PRACTICE, P.C.
Practice Address - Street 2:2800 SWEETHOME RD. #6
Practice Address - City:WEST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1300
Practice Address - Country:US
Practice Address - Phone:716-691-1300
Practice Address - Fax:716-691-5044
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2019-10-01
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Provider Licenses
StateLicense IDTaxonomies
NYF306635363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health