Provider Demographics
NPI:1457525586
Name:DUNINA, OLGA VLADIMIROVNA (RN)
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:VLADIMIROVNA
Last Name:DUNINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10661 MONTGOMERY CO LINE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309-9401
Mailing Address - Country:US
Mailing Address - Phone:937-884-7771
Mailing Address - Fax:
Practice Address - Street 1:10661 MONTGOMERY CO LINE RD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:OH
Practice Address - Zip Code:45309-9401
Practice Address - Country:US
Practice Address - Phone:937-884-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH286289163W00000X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine