Doctor Name: | DAWN CARLA MCCUE |
NPI Number: | 1366702698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 9277246 |
Business Practice Address: | 950 County Road 17a W Avon Park, FL - 338252164 |
Business Phone Number: | 8634523000 |
Business Fax Number: | 8634523002 |
Mailing Address: | 47 5th St Nw, WINTER HAVEN |
State: | FL |
Postal Code: | 338814672 |
Phone Number: | 8634523012 |
Fax Number: | 8632915124 |
NPI Enumeration Date: | 05/21/2012 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP 9277246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |