Dawn Ennis Decotiis is a Family in Albany, New York. Dawn Ennis Decotiis practices all healthcare services and medical treatments related to Family. The NPI Number for Dawn Ennis Decotiis is 1184662587. The last update date is 2011-07-04.
Dawn Ennis Decotiis's current location address is Po Box 1638, Albany, New York. You can contact this provider via phone number 2077774111 and fax number 2077836660. The mailing address for Dawn Ennis Decotiis is Po Box 1638, Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn Ennis Decotiis |
|---|---|
| Address | Po Box 1638, Albany, New York |
| Phone Number | 2077774111 |
| Fax Number | 2077836660 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1184662587 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2011-07-04 |
Provider Mailing Address Detail
| Address | Po Box 1638 |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 122011638 |
| Phone Number | 2077774111 |
| Fax Number | 2077836660 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP081531 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 245200099 | ME | -- |
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What is the unique provider identifier assigned to Dawn Ennis Decotiis?
The Dawn Ennis Decotiis has been issued the NPI (National Provider Identifier) 1184662587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dawn Ennis Decotiis?
The Dawn Ennis Decotiis is physically situated at Po Box 1638, in the city of Albany, state of NY, with the postal code 122011638.
What is the area of specialization for Dawn Ennis Decotiis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dawn Ennis Decotiis is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
When did the Dawn Ennis Decotiis receive its 1184662587?
The Dawn Ennis Decotiis was issued its 1184662587 on 2006-06-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Dawn Ennis Decotiis's details last updated?
The information pertaining to the Dawn Ennis Decotiis, including its address, specialty, and other details, was most recently updated on 2011-07-04.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN