Provider Demographics
NPI:1417560020
Name:DUNN, CAMLYN (APRN)
Entity Type:Individual
Prefix:
First Name:CAMLYN
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAMLYN
Other - Middle Name:
Other - Last Name:DAMPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:17985 US HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:MOORCROFT
Mailing Address - State:WY
Mailing Address - Zip Code:82721-8814
Mailing Address - Country:US
Mailing Address - Phone:307-391-1380
Mailing Address - Fax:
Practice Address - Street 1:17985 US HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MOORCROFT
Practice Address - State:WY
Practice Address - Zip Code:82721-8814
Practice Address - Country:US
Practice Address - Phone:307-391-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY46307363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily