Individual
SHANTA E DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
212 CALEF HWY, EPPING, NH 03042-2322
(603) 693-2100
Mailing address
7 HOLLAND WAY FL 1, EXETER, NH 03833-2997
(603) 693-2100
(603) 679-1046
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0359152302
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076880
—
NH
Enumeration date
03/31/2006
Last updated
07/16/2019
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