Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 079444 | GA |
NPI | 1376568675 |
---|---|
Provider Name | Stephanie Dunlap |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-4231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 14/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2777017 | (05) | OH |
E86171 | (02) | IL |