Provider Demographics
NPI:1396788402
Name:DUNLAP, NANCY E (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-5219
Practice Address - Fax:434-924-9720
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10540207RC0200X
VA0101254361207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6078OtherHEALTHSPRING OF ALABAMA
AL000012155Medicaid
AL051500921OtherBLUE CROSS
ALC73300OtherVIVA
AL000012155OtherBLUE CROSS
MS04680864OtherMISSISSIPPI MEDICAID
AL110008154OtherRAILROAD MEDICARE
AL110008154OtherRAILROAD MEDICARE