Dawn A Clark
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Eaton, OH
NPI 1134424583 · NPPES record last updated Jan 17, 2011
Key facts
- NPI
- 1134424583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- RN332515 (OH)
- Practice address
- 2172A US Route 127 N
Eaton, OH 45320-9289 - Phone
- (937) 456-1915
- Fax
- (937) 456-2208
- NPI assigned
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN332515 | OH | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN332515 | OH | Yes |
Addresses
Primary practice location
2172A US Route 127 N
Eaton, OH 45320-9289
Mailing address
2172A US Route 127 N
Eaton, OH 45320-9289
Phone (937) 456-1915
Other providers in Eaton, OH
- Angela K Cates
- Chase Allen Caudill
- Eric Cecys
- Samantha Chrismer
- City of Eaton
- William Scott Clayton II
- Kayla Conley
- Consilience Inc
- Consilience Inc
- Consilience Inc
All providers in Eaton, OH · Psychiatric/Mental Health Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.