Provider Demographics
NPI:1013047463
Name:DUNOW, DONALD MICHAEL (MSN, APRN, NP-C, CNP)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:MICHAEL
Last Name:DUNOW
Suffix:
Gender:M
Credentials:MSN, APRN, NP-C, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HARDING ST NE # 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2801
Mailing Address - Country:US
Mailing Address - Phone:651-571-0000
Mailing Address - Fax:888-990-2714
Practice Address - Street 1:401 HARDING ST NE # 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2801
Practice Address - Country:US
Practice Address - Phone:651-571-0000
Practice Address - Fax:888-990-2714
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2460283163W00000X
AZAP5193363LF0000X
MNCNP5548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ962010Medicaid