Individual
BRIAN KEITH DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164634
VA
367500000X
Certified Registered Nurse Anesthetist
RN627363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102617924
—
PA
05
—
1528018397
—
VA
01
—
1600692
GATEWAY
PA
01
—
2642411
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/11/2006
Last updated
03/17/2018
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