Provider Demographics
NPI:1225877400
Name:TATE, DAWN WALTERS (RN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:WALTERS
Last Name:TATE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1011 E GONZALEZ ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-6048
Mailing Address - Country:US
Mailing Address - Phone:850-572-8289
Mailing Address - Fax:850-595-0096
Practice Address - Street 1:915 E FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2816
Practice Address - Country:US
Practice Address - Phone:850-444-3400
Practice Address - Fax:850-595-0096
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach