Provider Demographics
NPI:1912335910
Name:DAWSON, ROBERT B III (DNP, MSA, APRN, ACNP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:DAWSON
Suffix:III
Gender:M
Credentials:DNP, MSA, APRN, ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TARKLESON DR
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03576
Mailing Address - Country:US
Mailing Address - Phone:603-566-7107
Mailing Address - Fax:
Practice Address - Street 1:32 BISCAYNE PKWY
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-1169
Practice Address - Country:US
Practice Address - Phone:603-566-7107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH042632-23282N00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No282N00000XHospitalsGeneral Acute Care Hospital