Provider Demographics
NPI:1699583393
Name:DUNNING, TERESA JANE
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:JANE
Last Name:DUNNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 N HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-1953
Mailing Address - Country:US
Mailing Address - Phone:308-379-3694
Mailing Address - Fax:
Practice Address - Street 1:2308 N HOWARD AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1953
Practice Address - Country:US
Practice Address - Phone:308-379-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion