| Doctor Name: | DR. DAWN IRENE HARDWICK |
| NPI Number: | 1023481793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, FNP-BC |
| License Number: | APN.0992050-NP |
| Business Practice Address: | 5995 Iris Pkwy Frederick, CO - 805046412 |
| Business Phone Number: | 3038332050 |
| Business Fax Number: | 3038336515 |
| Mailing Address: | 203 S Rollie Ave, Billing Dept - Credentialist FORT LUPTON |
| State: | CO |
| Postal Code: | 806211508 |
| Phone Number: | 3032864560 |
| Fax Number: | 3032864589 |
| NPI Enumeration Date: | 11/03/2015 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN.0992050-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |