Individual
DAWN ERICKSEN-CLARKE
Active
Individual
DAWN ERICKSEN-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71004710A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201229190
—
IN
01
—
28175006A
RN LICENSE
IN
01
—
71004710A
APN PRESCRIPTIVE AUTHORITY
IN
01
—
P01456970
MEDICARE RR
IN
Enumeration date
11/08/2013
Last updated
03/19/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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