Massey, Dawn Marie

Massey, Dawn Marie is an individual health care provider with primary practice located at 30 West Avon Road , Avon CT 06001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Massey, Dawn Marie can be contacted via phone (860) 673-2581.

Contact Information

Primary practice address
30 West Avon Road Avon CT 06001
Phone: (860) 673-2581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 004309 Connecticut

Profile Details

NPI number 1528389962
LBN Legal business name Massey, Dawn Marie
Credentials NP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Sep 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528389962 NPPES
Connecticut MEDICAID 1528389962

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