Provider Demographics
NPI:1679084248
Name:ERB, DAWN ANN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:ANN
Last Name:ERB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:ANN
Other - Last Name:MAHLSTEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:210 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4802
Mailing Address - Country:US
Mailing Address - Phone:212-685-4366
Mailing Address - Fax:212-683-3548
Practice Address - Street 1:210 E 33RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4802
Practice Address - Country:US
Practice Address - Phone:212-685-4366
Practice Address - Fax:212-683-3548
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY462848163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool