Provider Demographics
NPI:1902124928
Name:DUNFEE, MICHELLE N (LPN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:N
Last Name:DUNFEE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 DEIDRICK RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-1632
Mailing Address - Country:US
Mailing Address - Phone:330-931-0908
Mailing Address - Fax:
Practice Address - Street 1:465 DEIDRICK RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-1632
Practice Address - Country:US
Practice Address - Phone:330-931-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH132197164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse