Individual
DAWN RENAE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002-1804
(269) 349-8386
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704234522
—
MI
Enumeration date
05/31/2018
Last updated
11/19/2024
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