Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN001260 | NV |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN001260 | NV |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN001260 | NV |
NPI | 1487950705 |
---|---|
Provider Name | Marc Dunbar |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89502-1576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2011 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12308861 | CAQH (01) | NV |
1487950705 | (05) | NV |