Provider Demographics
NPI:1265588313
Name:ATKINSON, DAWN MICHELE (NP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MICHELE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:SWALBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1338 PHAY AVE BLDG D
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-2326
Mailing Address - Country:US
Mailing Address - Phone:719-285-2700
Mailing Address - Fax:719-285-2975
Practice Address - Street 1:1338 PHAY AVE BLDG D
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212
Practice Address - Country:US
Practice Address - Phone:719-285-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0001447-C-NP363L00000X, 363LG0600X
NMCNP-02673363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner