Provider Demographics
NPI:1366856387
Name:KOHANSKI, DAWN (FNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:KOHANSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2520
Mailing Address - Country:US
Mailing Address - Phone:187-745-0645
Mailing Address - Fax:860-926-4245
Practice Address - Street 1:138 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2520
Practice Address - Country:US
Practice Address - Phone:518-774-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338824363LF0000X
MARN227469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily