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Pamela Leah Dungan, Registered Nurse

Registered Nurse in Duluth, MN. Individual provider (NPI-1).

NPI number1013153105
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1013153105
Entity type
Individual (NPI-1)
Name
Mrs. Pamela Leah Dungan
Credential
Registered Nurse
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 19, 2008
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse2488433MNYes
164W00000X Licensed Practical NurseL 051054-5MN

Practice location

1429 88th Ave W
Duluth, MN 55808-1524

Phone 218-491-5864 · Fax 218-249-2451

Mailing address

1429 88th Ave W
Duluth, MN 55808-1524

Phone 218-491-5864 · Fax 218-249-2451

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