Provider Demographics
NPI:1922142520
Name:DUNLAP, CAROLYN JEAN (RN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JEAN
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
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Mailing Address - Street 1:3944 LAUREL OAK CIR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-9711
Mailing Address - Country:US
Mailing Address - Phone:412-623-8441
Mailing Address - Fax:412-623-8400
Practice Address - Street 1:5200 CENTRE AVE
Practice Address - Street 2:SUITE 307 SHADYSIDE MEDICAL BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1300
Practice Address - Country:US
Practice Address - Phone:412-623-8441
Practice Address - Fax:412-623-8400
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP003086B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA554178Medicare UPIN