Individual
ANITRA DEGRUSHA DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN109928
LA
363LF0000X
Family Nurse Practitioner
AP09457
LA
Other
Enumeration date
06/02/2017
Last updated
07/07/2017
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