Doctor Name: | MS. BRENDA B. DAWSON |
NPI Number: | 1609928654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN038698 |
Business Practice Address: | 1401 Johnson St Tallulah, LA - 712825513 |
Business Phone Number: | 3185741713 |
Business Fax Number: | 3185742299 |
Mailing Address: | 819 Highway 580, TRANSYLVANIA |
State: | LA |
Postal Code: | 712865811 |
Phone Number: | 3185527685 |
Fax Number: | 3185521844 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN038698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |