Provider Demographics
NPI:1063180768
Name:DUNN, DEIRDRE ANNE (RN)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:ANNE
Last Name:DUNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DEIRDRE
Other - Middle Name:ANNE
Other - Last Name:MCATARIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13302 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2675
Mailing Address - Country:US
Mailing Address - Phone:240-513-3590
Mailing Address - Fax:301-797-4975
Practice Address - Street 1:13302 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2675
Practice Address - Country:US
Practice Address - Phone:240-513-3590
Practice Address - Fax:301-797-4975
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001205001163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse