DAWN TIEDEMANN APRN NPI 1477592301

NPI Information

NPI: 1477592301
Provider Name: DAWN TIEDEMANN, APRN
Classification: Clinical Nurse Specialist - 364SX0200X
Entity Type: Individual

Specialization: Oncology

Address:
455 LEWIS AVENUE
SUITE 220
MERIDEN, CT
ZIP 06451
Phone: (203) 238-7747
Get Directions

Dawn Tiedemann, APRN is an oncology clinical nurse specialist in Meriden, CT. Dawn Tiedemann, APRN NPI is 1477592301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

455 LEWIS AVENUE
SUITE 220
MERIDEN, CT
ZIP 06451
Phone: (203) 238-7747
Fax: (203) 686-0282

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		001916	CONNECTICUT	No
2	364SX0200X	Clinical Nurse Specialist	Oncology	001916	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004257433	MEDICAID	CONNECTICUT
2	500001638	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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