Provider Demographics
NPI:1528720877
Name:DUNBAR, TERRI-LYNN (LPN)
Entity type:Individual
Prefix:
First Name:TERRI-LYNN
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ROUTE 130 UNIT 12
Mailing Address - Street 2:
Mailing Address - City:FORESTDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02644-4401
Mailing Address - Country:US
Mailing Address - Phone:888-619-6736
Mailing Address - Fax:
Practice Address - Street 1:290 ROUTE 130 #816
Practice Address - Street 2:BUILDING 1, UNIT 12
Practice Address - City:FORESTDALE
Practice Address - State:MA
Practice Address - Zip Code:02644-4401
Practice Address - Country:US
Practice Address - Phone:888-619-6736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN94779164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse