Individual
MS. IVORY TANU DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5743 PINE TREE ST W, APT D, COLUMBUS, OH 43229-3784
(614) 208-3599
Mailing address
5743 PINETREE STREET WEST, APT. D, COLUMBUS, OH 43229-3784
(614) 208-3599
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN334790
OH
163WM0705X
Medical-Surgical Registered Nurse
RN 334790
OH
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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