| NPI | 1932709276 |
|---|---|
| Former Name | AMANDA ELIZABETH DUNN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2291291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2291291) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2291291) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-04-17 |