Provider Demographics
NPI:1881991719
Name:DREYER, DAWN ALLISON (RN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:ALLISON
Last Name:DREYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:ALLISON
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:227 E MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7732
Mailing Address - Country:US
Mailing Address - Phone:507-345-8591
Mailing Address - Fax:507-345-5023
Practice Address - Street 1:227 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7732
Practice Address - Country:US
Practice Address - Phone:507-345-8591
Practice Address - Fax:507-345-5023
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1750469163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse