Individual
DAWN P DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
27053418A
IN
363L00000X
Nurse Practitioner
Primary
71003866A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000761988
ANTHEM
IN
05
—
201061200
—
IN
Enumeration date
11/01/2011
Last updated
10/20/2022
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