Provider Demographics
NPI:1710120571
Name:DUNSTER, MEGHAN ELIZABETH
Entity Type:Individual
Prefix:MISS
First Name:MEGHAN
Middle Name:ELIZABETH
Last Name:DUNSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PENNROSE EST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-2150
Mailing Address - Country:US
Mailing Address - Phone:315-567-1078
Mailing Address - Fax:
Practice Address - Street 1:5 PENNROSE EST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2150
Practice Address - Country:US
Practice Address - Phone:315-567-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294544164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse