Provider Demographics
NPI:1104261775
Name:DUNN, ANDREA A (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:A
Last Name:DUNN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3548
Mailing Address - Country:US
Mailing Address - Phone:713-831-6554
Mailing Address - Fax:713-535-2654
Practice Address - Street 1:4018 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2749
Practice Address - Country:US
Practice Address - Phone:504-897-9200
Practice Address - Fax:504-897-9234
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07241363LW0102X
LARN115146163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2338625Medicaid