Provider Demographics
NPI:1396734232
Name:NIXON, DAWN MCILVRIED (MS, CGC, LGC)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MCILVRIED
Last Name:NIXON
Suffix:
Gender:F
Credentials:MS, CGC, LGC
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:ELLEN
Other - Last Name:MCILVRIED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC, LGC
Mailing Address - Street 1:8301 HARCOURT ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDIANAOPLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260
Mailing Address - Country:US
Mailing Address - Phone:317-415-6689
Mailing Address - Fax:317-583-2436
Practice Address - Street 1:8301 HARCOURT ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAOPLIS
Practice Address - State:IN
Practice Address - Zip Code:46260
Practice Address - Country:US
Practice Address - Phone:317-415-6689
Practice Address - Fax:317-583-2436
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS