Walston, Dawn M

Walston, Dawn M is an individual health care provider with primary practice located at 371 S Broadview St , Cape Girardeau MO 63703-5761. 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. Walston, Dawn M can be contacted via phone (573) 331-6710.

Contact Information

Primary practice address
371 S Broadview St Cape Girardeau MO 63703-5761
Phone: (573) 331-6710
Fax: (573) 986-5999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 090149 Missouri

Profile Details

NPI number 1710061551
LBN Legal business name Walston, Dawn M
Credentials MSN AHCNS, APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 2nd, 2023 - about 2 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 1710061551 NPPES
Missouri Other 090149 MO LICENSE NUMBER
Missouri Other 20040028-05 MO LICENSE NUMBER

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