Doctor Name: | MRS. ANNETTE LAVERN DAWSON |
NPI Number: | 1043271059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 0024091743 |
Business Practice Address: | 100 Emancipation Dr Hampton, VA - 236670001 |
Business Phone Number: | 7577229961 |
Business Fax Number: | 7577266077 |
Mailing Address: | 6834 Ivanhoe Ct, SUFFOLK |
State: | VA |
Postal Code: | 234353076 |
Phone Number: | 7574836238 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024091743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |