Healthcare Provider Details

I. General information

NPI: 1073618088
Provider Name (Legal Business Name): PAUL F DUNN FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 OLD NC HIGHWAY 86
HILLSBOROUGH NC
27278-8785
US

IV. Provider business mailing address

110 BOONE SQUARE ST STE 29A
HILLSBOROUGH NC
27278-2665
US

V. Phone/Fax

Practice location:
  • Phone: 919-732-2909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number073515
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: