Individual provider · Type 1 NPI
Denette Mamie Phillips Dunn
Psychiatric/Mental Health Nurse Practitioner · Lakeville, MN
NPI number
1174353825
Active
Practice location
10527 165th St W
Lakeville, MN 55044-5725
Mailing address
PO Box 20411
Bloomington, MN 55420-0411
Other practice locations
- 905 Jefferson Ave, St. Paul, MN 55102-4741 · (651) 800-1225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2477500 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2024012143 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174353825
Denette Mamie Phillips Dunn's National Provider Identifier is 1174353825, issued on Aug 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lakeville, MN. The record was last updated on Aug 7, 2024.