Individual
DAWN L SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1320 WISCONSIN AVENUE, RACINE, WI 53403-1978
(262) 687-5600
(262) 687-5621
Mailing address
1320 WISCONSIN AVENUE, RACINE, WI 53403-1978
(262) 687-5600
(262) 687-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123138
WI
363L00000X
Nurse Practitioner
Primary
3934
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123138
RN LICENSE
WI
Enumeration date
09/09/2009
Last updated
06/28/2012
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