Provider Demographics
NPI:1053847483
Name:DUNBAR, GARNETTE LOIS (FNP)
Entity Type:Individual
Prefix:MRS
First Name:GARNETTE
Middle Name:LOIS
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 CEDARDAY DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6395
Mailing Address - Country:US
Mailing Address - Phone:443-922-7900
Mailing Address - Fax:443-922-7900
Practice Address - Street 1:913 CEDARDAY DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6395
Practice Address - Country:US
Practice Address - Phone:443-922-7900
Practice Address - Fax:443-922-7900
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335650-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily