Provider Demographics
NPI:1649043886
Name:SIMON DUNN, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:SIMON DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29129 SCHWARTZ RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3814
Mailing Address - Country:US
Mailing Address - Phone:773-517-0403
Mailing Address - Fax:
Practice Address - Street 1:29129 SCHWARTZ RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3814
Practice Address - Country:US
Practice Address - Phone:773-517-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker