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Individual

DR. DTAWAHN SEXTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, FNP-BC, RN

Contact information

Practice address
8695 COMMERCE DR STE 5, EASTON, MD 21601-7485
(410) 822-5575
(410) 770-3258
Mailing address
450 S KITSAP BLVD, PORT ORCHARD, WA 98366-3773
(360) 874-5900
(253) 952-6824

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN216522
GA
363LF0000X
Family Nurse Practitioner
2016024386
GA
363LF0000X
Family Nurse Practitioner
AP60863630
WA
363LF0000X
Family Nurse Practitioner
Primary
R251567
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2104738
WA
Enumeration date
11/30/2016
Last updated
06/06/2024
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