Healthcare Provider Details

I. General information

NPI: 1144456385
Provider Name (Legal Business Name): MICHELLE MARIE DUNNING RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 06/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 S MILWAUKEE ST
DENVER CO
80210-2024
US

IV. Provider business mailing address

1265 S MILWAUKEE ST
DENVER CO
80210-2024
US

V. Phone/Fax

Practice location:
  • Phone: 516-435-4560
  • Fax:
Mailing address:
  • Phone: 516-435-4560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number162819
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: