Carley Marie Dawson
Nurse Practitioner - Adult Health
3412 Eagle Run Dr
West Fargo
, North Dakota 58078-7750
Carley Marie Dawson
Nurse Practitioner - Adult Health
3412 Eagle Run Dr
West Fargo
, North Dakota 58078-7750
(651) 707-3225
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Carley Marie Dawson
- 3412 Eagle Run Dr
- West Fargo, ND
- Zip : 58078-7750
- Phone : (651) 707-3225
Second Address
- Carley Marie Dawson
- 3412 Eagle Run Dr
- West Fargo, ND
- Zip : 58078-7750
- Phone : (651) 707-3225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | R40513 | ND |
National Provider Identifier
| NPI | 1013534270 |
|---|---|
| Provider Name | Carley Marie Dawson |
| First Address | West Fargo, ND 58078-7750 |
| Second Address | West Fargo, ND 58078-7750 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2020 |
| Last Update Date | 02/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R40513 | NORTH DAKOTA BOARD OF NURSING LICENSING (01) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.