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NPI Code Detail

MEDICARE: CANDYACE A DUNN FNP-C

MEDICARE: CANDYACE A DUNN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024165822VA

General Provider Information

NPI Number : 1306834999
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDYACE A DUNN FNP-C
Provider Business Mailing Address
First Line : APPOMATTOX FAMILY PRACTICE
Second Line : P O BOX 607
City : APPOMATTOX
State : VA
Zip : 24522-0607
Country : US
Telephone Number : 434-352-8235
Fax Number : 434-352-5532
Provider Business Practice Location Address
First Line : 16490 W 78TH ST
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55346-4300
Country : US
Telephone Number : 304-225-2500
Fax Number : 304-985-6350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2005
Last Update Date : 10/31/2017

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Directions to “ CANDYACE A DUNN FNP-C” Practice Location

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