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Individual

DAWN M NOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5683 EVERGREEN PL, BETTENDORF, IA 52722-5531
(563) 210-0873
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(563) 210-0873

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209003892
IL
363LF0000X
Family Nurse Practitioner
Primary
A083201
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02266
IA BCBS SEEN IN DAVENPORT
IA
01
078004
HEALTH ALLIANCE
01
235624
MIDLAND'S CHOICE
IL
01
309001343
CONTROLLED SUBSTANCE #
IL
01
421060724
BILLING TAX ID# FOR CHC
IA
01
421060724A7
JOHN DEERE HEALTH
IA
01
5201205
CONTROLLED SUBSTANCE#
IA
01
93082
IA BCBS SEEN IN MOLINE
IA
01
93109
IA BCBS SEEN IN RI
IA
01
IA01A7
JOHN DEERE EDI#
IA
01
P42667
UPIN
Enumeration date
09/21/2005
Last updated
03/07/2023
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