Healthcare Provider Details

I. General information

NPI: 1881337301
Provider Name (Legal Business Name): KATIE LYNNE DUNN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 LAUREL ST
DES MOINES IA
50314-3034
US

IV. Provider business mailing address

155 MEMORIAL DR
PINEHURST NC
28374-8710
US

V. Phone/Fax

Practice location:
  • Phone: 515-288-3287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF178895
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number328537
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: