Healthcare Provider Details

I. General information

NPI: 1982622973
Provider Name (Legal Business Name): AMY L. DUNN-CALDWELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY L. DUNN

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-2675
  • Fax:
Mailing address:
  • Phone: 206-543-6420
  • Fax: 206-520-5620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00091173
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP30004304
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: