Healthcare Provider Details

I. General information

NPI: 1194661660
Provider Name (Legal Business Name): ABIGAIL CONRAD DUNNING RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 PFLAUM RD
MADISON WI
53716-2167
US

IV. Provider business mailing address

303 FORRESTON DR
COTTAGE GROVE WI
53527-9315
US

V. Phone/Fax

Practice location:
  • Phone: 608-442-2967
  • Fax:
Mailing address:
  • Phone: 608-217-4041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number155761-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: