Provider Demographics
NPI:1619917978
Name:DUNN, SUSAN IRENE (BSN,MN, ANP-C)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:IRENE
Last Name:DUNN
Suffix:
Gender:F
Credentials:BSN,MN, ANP-C
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Mailing Address - Street 1:38 EDDYSTONE CT
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1230
Mailing Address - Country:US
Mailing Address - Phone:650-594-5991
Mailing Address - Fax:650-594-5991
Practice Address - Street 1:795 WILLOW RD
Practice Address - Street 2:BUILDING 324 E112A
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2539
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-617-2602
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA280300363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health