Doctor Name: | MRS. LINDSEY DUNSHEATH |
NPI Number: | 1225397532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 209.009532 |
Business Practice Address: | 1310 N Main St Suite 209 Sandwich, IL - 605481394 |
Business Phone Number: | 8157861967 |
Business Fax Number: | |
Mailing Address: | 1730 Woodbury Ln, AURORA |
State: | IL |
Postal Code: | 605035695 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/07/2012 |
NPI Last Update Date: | 05/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.009532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |