Provider Demographics
NPI:1942300637
Name:DUNSE, GINA SUZANNE (RD LMNT)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:SUZANNE
Last Name:DUNSE
Suffix:
Gender:F
Credentials:RD LMNT
Other - Prefix:MS
Other - First Name:GINA
Other - Middle Name:SUZANNE
Other - Last Name:BUNNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:1114 W. FOURTH ST.
Mailing Address - City:ALMA
Mailing Address - State:NE
Mailing Address - Zip Code:68920-0074
Mailing Address - Country:US
Mailing Address - Phone:308-928-2154
Mailing Address - Fax:308-928-2154
Practice Address - Street 1:1114 4TH ST
Practice Address - Street 2:1114 W. FOURTH ST.
Practice Address - City:ALMA
Practice Address - State:NE
Practice Address - Zip Code:68920-2003
Practice Address - Country:US
Practice Address - Phone:308-928-2154
Practice Address - Fax:308-928-2154
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE682133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered