Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN224365 | MA |
N | 363LA2100X | Nurse Practitioner - Acute Care | RN224365 | MA |
NPI | 1003236449 |
---|---|
Provider Name | Mr. Joshua Bryan Dunn |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2014 |
Last Update Date | 07/04/2020 |