Healthcare Provider Details

I. General information

NPI: 1972963510
Provider Name (Legal Business Name): LINDSAY DUNN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2016
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 VISTA WAY BLDG B STE 130
OCEANSIDE CA
92056
US

IV. Provider business mailing address

3605 VISTA WAY BLDG B STE 130
OCEANSIDE CA
92056
US

V. Phone/Fax

Practice location:
  • Phone: 760-547-1010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95033638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: