Provider Demographics
NPI:1154939221
Name:DUNLAP, JOSHUA ROSS (RN)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ROSS
Last Name:DUNLAP
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21320 SE 277TH ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-3110
Mailing Address - Country:US
Mailing Address - Phone:253-222-3156
Mailing Address - Fax:
Practice Address - Street 1:21320 SE 277TH ST
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-3110
Practice Address - Country:US
Practice Address - Phone:253-222-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60598432163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse