MEDICARE: LAURA E DUNLEVY 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	363LF0000X	Family Nurse Practitioner	0032925	OH

General Provider Information

NPI Number	:	1760009971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA E DUNLEVY NP

Provider Business Mailing Address
First Line	:	10828 KENDIG RD
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-8814
Country	:	US
Telephone Number	:	937-935-3681
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 S STANFIELD RD STE 301
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-2334
Country	:	US
Telephone Number	:	937-339-1518
Fax Number	:	937-339-1538

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

Provider Enumeration Date	:	07/03/2020
Last Update Date	:	03/05/2026

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Directions to “ LAURA E DUNLEVY NP” Practice Location

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