Provider Demographics
NPI:1861874729
Name:DUNN, IRENE LOUISA (APRN)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:LOUISA
Last Name:DUNN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:4849 N MESA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5919
Mailing Address - Country:US
Mailing Address - Phone:915-351-6600
Mailing Address - Fax:915-351-6601
Practice Address - Street 1:11160 MONTWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4240
Practice Address - Country:US
Practice Address - Phone:915-437-7207
Practice Address - Fax:915-351-6601
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2021-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP128692363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health