Provider Demographics
NPI:1023263175
Name:ROBERSON, DAWN DIANE (WHNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:DIANE
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 OAK ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1651
Mailing Address - Country:US
Mailing Address - Phone:724-349-2022
Mailing Address - Fax:724-349-8735
Practice Address - Street 1:1097 OAK ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1651
Practice Address - Country:US
Practice Address - Phone:724-349-2022
Practice Address - Fax:724-349-8735
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010349363LW0102X
IL209-006536363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health