DAWN IRENE BLUE NPI 1821646746

NPI Information

NPI: 1821646746
Provider Name: DAWN IRENE BLUE
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
55887 YUCCA VALLEY TRAIL
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 447-1200
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Dawn Irene Blue is an adult health nurse practitioner in Yucca Valley, CA. Dawn Irene Blue NPI is 1821646746. 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:

55887 YUCCA VALLEY TRAIL
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 447-1200

The NPI 1821646746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/4/2019 and was last updated on 9/4/2019.

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	163W00000X	Registered Nurse		391944	CALIFORNIA	No
2	363LA2100X	Nurse Practitioner	Acute Care	95012600	CALIFORNIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	95012600	CALIFORNIA	No
4	363LA2200X	Nurse Practitioner	Adult Health	95012600	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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