Provider Demographics
NPI:1104637941
Name:DHAWAN, GOBIND (CNA)
Entity type:Individual
Prefix:
First Name:GOBIND
Middle Name:
Last Name:DHAWAN
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6368 JAGGER PL NE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-3167
Mailing Address - Country:US
Mailing Address - Phone:360-516-9274
Mailing Address - Fax:
Practice Address - Street 1:1231 HOLLIS ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3611
Practice Address - Country:US
Practice Address - Phone:360-633-9513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC61605846376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide