Individual
SHEILA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN, MSN
Contact information
Practice address
302 W MAIN ST, FAIRBORN, OH 45324-5037
(937) 281-4673
(937) 318-1120
Mailing address
302 W MAIN ST, FAIRBORN, OH 45324-5037
(937) 318-8103
(937) 867-5258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000971529
ANTHEM
IN
05
—
0147593
—
OH
05
—
201329390
—
IN
Enumeration date
09/28/2015
Last updated
03/14/2022
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