Individual
SHELBADENE E. DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5415
(740) 446-5958
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5415
(740) 446-5958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
158212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312493
ANTHEM BCBS
—
05
—
2214455
—
OH
01
—
CE0006
RR MEDICARE
—
Enumeration date
07/13/2006
Last updated
08/07/2014
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