Provider Demographics
NPI:1629801659
Name:DUNN, RAKIA S
Entity type:Individual
Prefix:
First Name:RAKIA
Middle Name:S
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RAKIA
Other - Middle Name:S
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1434 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3225
Mailing Address - Country:US
Mailing Address - Phone:267-382-9694
Mailing Address - Fax:
Practice Address - Street 1:1434 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3225
Practice Address - Country:US
Practice Address - Phone:267-382-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 374K00000X
PA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171400000XOther Service ProvidersHealth & Wellness Coach
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner