Provider Demographics
NPI:1629601059
Name:DUNN, SHEILA M (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:M
Last Name:DUNN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 E 2ND ST STE 109
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-6355
Mailing Address - Country:US
Mailing Address - Phone:507-208-7629
Mailing Address - Fax:507-607-8671
Practice Address - Street 1:902 E 2ND ST STE 109
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-6355
Practice Address - Country:US
Practice Address - Phone:507-208-7629
Practice Address - Fax:507-607-8671
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7341363LP0808X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program