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Contact Information

DUSTIN N TAWATAO, FNP-C
510 SUPERIOR AVE
NEWPORT BEACH, AL92663
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DUSTIN N TAWATAO · (Male)

NPI Number 1487044723
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/26/2015
Last updated 12/22/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 784688
  • CA License # 95001918
  • WA License # AP60699819
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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