Provider Demographics
NPI:1811451727
Name:DUNKHASE, FELICE MARGARET (RN)
Entity type:Individual
Prefix:MRS
First Name:FELICE
Middle Name:MARGARET
Last Name:DUNKHASE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:FELICE
Other - Middle Name:MARGARET
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:WARD
Mailing Address - State:CO
Mailing Address - Zip Code:80481-0122
Mailing Address - Country:US
Mailing Address - Phone:615-498-6938
Mailing Address - Fax:
Practice Address - Street 1:49 MODOC
Practice Address - Street 2:
Practice Address - City:WARD
Practice Address - State:CO
Practice Address - Zip Code:80481-0122
Practice Address - Country:US
Practice Address - Phone:615-498-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0201441163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse