Provider Demographics
NPI:1447396163
Name:DUNKIN, ROSEMARIE (RN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:DUNKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:208 E 7TH
Mailing Address - Street 2:
Mailing Address - City:ELLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67637
Mailing Address - Country:US
Mailing Address - Phone:785-726-3896
Mailing Address - Fax:
Practice Address - Street 1:208 EAST 7TH STREET
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-628-2871
Practice Address - Fax:785-628-1438
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1375615041163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse