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NPI Code Detail

MEDICARE: MR. BRANDON RYAN DUNN NURSE PRACTITIONER

MEDICARE: MR. BRANDON RYAN DUNN NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.1000655-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043019946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRANDON RYAN DUNN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 216 CAPRICE CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-2866
Country : US
Telephone Number : 719-651-3218
Fax Number : 877-805-7372
Provider Business Practice Location Address
First Line : 1923 W COLORADO AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3838
Country : US
Telephone Number : 303-600-8563
Fax Number : 877-805-7372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2025
Last Update Date : 12/29/2025

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