MEDICARE: REBECCA DUNN NP

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
1	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	ARNP2917172	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y5587	OTHER		BCBS OF FL

General Provider Information

NPI Number	:	1477657831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA DUNN NP

Provider Business Mailing Address
First Line	:	5707 N 22ND STREET
Second Line	:	MENTAL HEALTH CARE
City	:	TAMPA
State	:	FL
Zip	:	33610
Country	:	US
Telephone Number	:	813-272-2878
Fax Number	:	813-272-3766

Provider Business Practice Location Address
First Line	:	2015 N CENTRAL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602
Country	:	US
Telephone Number	:	813-233-2829
Fax Number	:	813-272-3317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	02/06/2008

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