Provider Demographics
NPI:1730225038
Name:DUNN, ANGELA LEFFT (RN)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LEFFT
Last Name:DUNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:LEFFT
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:173 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-2811
Mailing Address - Country:US
Mailing Address - Phone:704-820-0048
Mailing Address - Fax:
Practice Address - Street 1:991 W HUDSON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-6430
Practice Address - Country:US
Practice Address - Phone:704-853-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC169156163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health