Provider Demographics
NPI:1922115021
Name:RIALS, DAWN RENE (FNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:RENE
Last Name:RIALS
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 1:5 MOBILE INFIRMARY CIR
Mailing Address - Street 2:POB SUITE 308
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3513
Mailing Address - Country:US
Mailing Address - Phone:251-435-7223
Mailing Address - Fax:251-435-7282
Practice Address - Street 1:5 MOBILE INFIRMARY CIR
Practice Address - Street 2:POB SUITE 308
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607
Practice Address - Country:US
Practice Address - Phone:251-435-7223
Practice Address - Fax:251-435-7282
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9444018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-083444OtherAL NP/RN LICENSE
FLARNP9444018OtherFL ARNP LICENSE
FLRN9444018OtherFL RN LICENSE