Provider Demographics
NPI:1942920251
Name:DUNDAS, NIKALINA LELIEA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:NIKALINA
Middle Name:LELIEA
Last Name:DUNDAS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8203 N NEIGE PT
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-0912
Mailing Address - Country:US
Mailing Address - Phone:954-615-7010
Mailing Address - Fax:
Practice Address - Street 1:1907 HIGHWAY 44 W
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3801
Practice Address - Country:US
Practice Address - Phone:352-344-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9448291163WE0003X, 261QI0500X
FLAPRN11021613261QR1300X, 207QA0505X
FLAPRN11201613363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11201613OtherDOH