Provider Demographics
NPI:1306834999
Name:DUNN, CANDYACE A (FNP-C)
Entity Type:Individual
Prefix:
First Name:CANDYACE
Middle Name:A
Last Name:DUNN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:APPOMATTOX FAMILY PRACTICE
Mailing Address - Street 2:P O BOX 607
Mailing Address - City:APPOMATTOX
Mailing Address - State:VA
Mailing Address - Zip Code:24522-0607
Mailing Address - Country:US
Mailing Address - Phone:434-352-8235
Mailing Address - Fax:434-352-5532
Practice Address - Street 1:16490 W 78TH ST
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55346-4300
Practice Address - Country:US
Practice Address - Phone:304-225-2500
Practice Address - Fax:304-985-6350
Is Sole Proprietor?:No
Enumeration Date:2005-10-09
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily