DAWN RENE LLC NPI 1851545115

NPI Information

NPI: 1851545115
Provider Name: DAWN RENE LLC

Doing Business As: VERNON FAMILY HEALTH CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3027 MAIN ST
VERNON, FL
ZIP 32462
Phone: (850) 535-0703
Get Directions

DAWN RENE LLC is a family nurse practitioner in Vernon, FL. DAWN RENE LLC NPI is 1851545115. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vernon Family Health Center.

The provider's business location address is:

3027 MAIN ST
VERNON, FL
ZIP 32462-220
Phone: (850) 535-0703

The provider's authorized official is Dawn R Frost .
The authorized official title is Owner/ Arnp and has the following contact phone number (850) 535-0703.

The CLIA number assigned to this NPI record is 10D1022763 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 11/12/2008.

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	363LF0000X	Nurse Practitioner	Family	AR2003622	FLORIDA	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
1	K5527	MEDICARE PIN	FLORIDA
2	Y905A	MEDICARE PIN	FLORIDA
3	10-8989	MEDICARE PIN	FLORIDA

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: 5/5/2024

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