Individual
DAWN R MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R25044
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119719
MEDICA #
ND
01
—
137056
UCARE #
ND
01
—
1783082
AMERICA'S PPO/ARAZ #
ND
05
—
19673
—
ND
01
—
20752
NDBS #
ND
01
—
46G75MC
MNBS #
ND
05
—
6823190
—
ND
01
—
74G29MC
MNBS #
ND
05
—
771193000
—
ND
01
—
DA9051028559
PREFERRED ONE #
ND
01
—
HP38610
HEALTHPARTNERS #
ND
Enumeration date
06/18/2006
Last updated
02/19/2016
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