| Doctor Name: | MRS. PANTEA NOSRAT DUNN |
| NPI Number: | 1003904418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN PNP |
| License Number: | 534431 |
| Business Practice Address: | 1528 Eureka Rd Suite 102 Roseville, CA - 956613047 |
| Business Phone Number: | 9167366644 |
| Business Fax Number: | 9167740143 |
| Mailing Address: | 1111 Exposition Blvd, Bldg 700 SACRAMENTO |
| State: | CA |
| Postal Code: | 958154314 |
| Phone Number: | 9167363408 |
| Fax Number: | 9162334171 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 534431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |