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NPI Code Detail

MEDICARE: KATRINA DUNN

MEDICARE: KATRINA DUNN
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1619272325
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA DUNN
Provider Business Mailing Address
First Line : 7381 PRAIRIE FALCON RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0812
Country : US
Telephone Number : 702-646-5437
Fax Number :
Provider Business Practice Location Address
First Line : 7381 PRAIRIE FALCON RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0812
Country : US
Telephone Number : 702-646-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2011
Last Update Date : 01/12/2011

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Directions to “ KATRINA DUNN ” Practice Location

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