Lookup NPI Numbers from the NPI Registry
NPI Profile for DAWN L ETZEL in FORT WAYNE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1912213588 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/20/2010 | |
| Last updated | 04/09/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAWN L ETZEL
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DAWN L ETZEL