Provider Demographics
NPI:1538290408
Name:CHAMBERS, DAWN LEEANN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:LEEANN
Last Name:CHAMBERS
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 1:230 BENT PINE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89433
Mailing Address - Country:US
Mailing Address - Phone:775-673-3469
Mailing Address - Fax:
Practice Address - Street 1:230 BENT PINE CIRCLE
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89433
Practice Address - Country:US
Practice Address - Phone:775-673-3469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide