Healthcare Provider Details

I. General information

NPI: 1376979245
Provider Name (Legal Business Name): ERIKA A DUNN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 136TH STREET SUITE 3400
FISHERS IN
46037-9417
US

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 317-678-3800
  • Fax: 317-678-3830
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004663A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: