Provider Demographics
NPI:1699341032
Name:DAWE, EMELIA ANN
Entity type:Individual
Prefix:
First Name:EMELIA
Middle Name:ANN
Last Name:DAWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 RESERVOIR ST
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-2422
Mailing Address - Country:US
Mailing Address - Phone:304-445-8641
Mailing Address - Fax:
Practice Address - Street 1:201 KESLER LN APT 102
Practice Address - Street 2:
Practice Address - City:TALCOTT
Practice Address - State:WV
Practice Address - Zip Code:24981-0167
Practice Address - Country:US
Practice Address - Phone:304-445-8641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant