Healthcare Provider Details

I. General information

NPI: 1881908275
Provider Name (Legal Business Name): ZADA JANE DUNAISKI RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 E 3RD ST ST. MARY'S MEDICAL CENTER
DULUTH MN
55805-1950
US

IV. Provider business mailing address

407 E 3RD ST ST. MARY'S MEDICAL CENTER
DULUTH MN
55805-1950
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-4000
  • Fax:
Mailing address:
  • Phone: 218-786-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR176408-6
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR176408-6
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: