Doctor Name: | DAWN MICHELE SZARKE |
NPI Number: | 1023455623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-BC |
License Number: | 209.009991 |
Business Practice Address: | 4102 Pinion Dr 10th Medical Group Usaf Academy, CO - 808402502 |
Business Phone Number: | 7193335111 |
Business Fax Number: | |
Mailing Address: | 13872 W Emma Ln, METTAWA |
State: | IL |
Postal Code: | 600453411 |
Phone Number: | 7193385175 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2013 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 209.009991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |