Healthcare Provider Details

I. General information

NPI: 1588872253
Provider Name (Legal Business Name): BARBARA TERICA DUNBAR CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 06/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 KOLBE RD STE 11
LORAIN OH
44053-1652
US

IV. Provider business mailing address

3312 JONES DR
LORAIN OH
44053-1161
US

V. Phone/Fax

Practice location:
  • Phone: 440-222-4003
  • Fax:
Mailing address:
  • Phone: 440-320-4187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number400308
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number024390
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: