Provider Demographics
NPI:1104987965
Name:DUNNIGAN, ANN ELIZABETH (MSW)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:ELIZABETH
Last Name:DUNNIGAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:ELIZABETH
Other - Last Name:LINDGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2750 1ST AVE. N.E.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-4848
Mailing Address - Country:US
Mailing Address - Phone:319-364-5106
Mailing Address - Fax:319-368-8096
Practice Address - Street 1:2750 1ST AVE NE.
Practice Address - Street 2:SUITE 100
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4848
Practice Address - Country:US
Practice Address - Phone:319-364-5106
Practice Address - Fax:319-368-8096
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000801041C0700X
IA801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA03524Medicare ID - Type Unspecified