Doctor Name: | DAWN M ROY |
NPI Number: | 1003161068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | IN PROCESS |
Business Practice Address: | 30 Houlton Street Patten, ME - 047650500 |
Business Phone Number: | 2075282285 |
Business Fax Number: | 2075282595 |
Mailing Address: | Po Box 500, 30 Houlton Street PATTEN |
State: | ME |
Postal Code: | 047650500 |
Phone Number: | 2075282285 |
Fax Number: | 2075282595 |
NPI Enumeration Date: | 07/16/2012 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | IN PROCESS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |