Provider Demographics
NPI:1831383835
Name:DUNN, MARIA NINA DOMINGO (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA NINA
Middle Name:DOMINGO
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:D
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:35 HORNER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3433
Mailing Address - Country:US
Mailing Address - Phone:540-428-0060
Mailing Address - Fax:540-347-4803
Practice Address - Street 1:35 HORNER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3433
Practice Address - Country:US
Practice Address - Phone:540-428-0060
Practice Address - Fax:540-347-4803
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-02
Last Update Date:2007-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012344352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry