Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 14393 | TN |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 9351411 | FL |
NPI | 1003149204 |
---|---|
Provider Name | Mrs. Dawn P Hamel |
First Address | Melbourne, FL 32935-3145 |
Second Address | Melbourne, FL 32935-3133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2009 |
Last Update Date | 02/09/2021 |