Provider Demographics
NPI:1437331048
Name:DUNFEE, TANYA K (LPN)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:K
Last Name:DUNFEE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 COTTAGE LN
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3716
Mailing Address - Country:US
Mailing Address - Phone:740-773-2554
Mailing Address - Fax:
Practice Address - Street 1:129 COTTAGE LN
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3716
Practice Address - Country:US
Practice Address - Phone:740-773-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN124555164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse