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Individual

DAWN CAROLINE PEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, WHCNP

Contact information

Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Mailing address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003232
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
AP115802
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235976
CT
05
294106402
TX
Enumeration date
11/02/2005
Last updated
07/21/2022
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