Orchard, Dawn

Orchard, Dawn is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 250 , Meridian ID 83642-6303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Orchard, Dawn can be contacted via phone (208) 381-7312.

Contact Information

Primary practice address
3525 E Louise Dr Ste 250 Meridian ID 83642-6303
Phone: (208) 381-7312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5985787-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP1370A Idaho

Profile Details

NPI number 1083977391
LBN Legal business name Orchard, Dawn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Sep 20th, 2022 - about 3 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 1083977391 NPPES
Idaho MEDICAID 1083977391

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