1811078256 NPI number — CATHERINE DUNSTON NP

Table of content: CATHERINE DUNSTON NP (NPI 1811078256)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811078256 NPI number — CATHERINE DUNSTON NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUNSTON
Provider First Name:
CATHERINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811078256
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5299 DTC BLVD
Provider Second Line Business Mailing Address:
SUITE 800
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-3321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-770-0507
Provider Business Mailing Address Fax Number:
303-770-0501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 HIGHWAY 70 EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSBOROUGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-643-3059
Provider Business Practice Location Address Fax Number:
919-732-2307
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  181893 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 181893 . This is a "STATE LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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