Healthcare Provider Details

I. General information

NPI: 1538585013
Provider Name (Legal Business Name): KAREN DUNAGAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2014
Last Update Date: 03/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 E MOUNTAIN SAGE DR
PHOENIX AZ
85048-4424
US

IV. Provider business mailing address

712 E MOUNTAIN SAGE DR
PHOENIX AZ
85048-4424
US

V. Phone/Fax

Practice location:
  • Phone: 480-708-0417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN086052
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: