Dawn L Lidstone, FNP
Nurse Practitioner, Family in Canaan, Connecticut
1922403542- Practice location
- 76 Church St, Canaan, CT 06018-2447
- Phone
- 860-624-0731
- Fax
- —
- Last updated
- June 24, 2020
Dawn Lisa Lidstone is a Nurse Practitioner, Family based in Canaan, CT. Dawn Lisa Lidstone practices in Canaan, CT and has the professional credentials of FNP. The NPI Number for Dawn Lisa Lidstone is 1922403542 and holds a License No. 087663 (CT). The current practice location address for Dawn Lisa Lidstone is 76 Church St, Canaan, CT 06018-2447 and can be reached out via phone at 860-624-0731.
Provider Profile Details
- NPI Number
- 1922403542
- Provider Name
- Dawn Lisa Lidstone
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 76 Church St, Canaan, CT 06018-2447
- Phone Number
- 860-624-0731
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2014
- Last Update Date
- June 24, 2020
- Certification Date
- June 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 Church St
Canaan, CT 06018-2447 - City
- Canaan
- State
- Connecticut
- Zip
- 06018-2447
- Phone Number
- 860-624-0731
Provider Business Mailing Address Details
- Address
- Po Box 438
Southfield, MA 01259-0438 - City
- Southfield
- State
- MA
- Zip
- 01259-0438
- Phone Number
- 413-854-1815
License Information
- License Number (1)
- 087663
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse, General Practice · 163WG0000X
- License Number (2)
- 284722
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse, General Practice · 163WG0000X
- License Number (3)
- 679700-1
- License State (3)
- NY
- Taxonomy (3)
- Registered Nurse, General Practice · 163WG0000X
- License Number (4)
- 007744
- License State (4)
- CT
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dawn L Lidstone, FNP?
The NPI number of Dawn L Lidstone, FNP is 1922403542. It was assigned on October 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Dawn L Lidstone, FNP?
Dawn L Lidstone, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 087663.
Where does Dawn L Lidstone, FNP practice?
The practice location is 76 Church St, Canaan, CT 06018-2447. The office can be reached at 860-624-0731 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922403542 directly on the NPPES registry website.