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NPI Code Detail

MEDICARE: LINDA S. DUNNAM CRNA

MEDICARE: LINDA S. DUNNAM CRNA
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
1367500000XCertified Registered Nurse AnesthetistR634255MS

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 : 1821070038
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA S. DUNNAM CRNA
Provider Business Mailing Address
First Line : 1314 19TH AVE
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4116
Country : US
Telephone Number : 601-703-4331
Fax Number : 601-703-3080
Provider Business Practice Location Address
First Line : 1314 19TH AVE
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4116
Country : US
Telephone Number : 601-703-9687
Fax Number : 601-703-9920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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Directions to “ LINDA S. DUNNAM CRNA” Practice Location

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