MRS. DAWN B TRUNDLE


Address: 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500
Phone: 3217330064

MRS. DAWN B TRUNDLE (NPI# 1003149204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003149204
Entity Type Individual
Full Name MRS. DAWN B TRUNDLE
Credential ARNP-C
Practice Address 308 S Harbor City Blvd Ste A
Melbourne
FL 32901-1500
Mailing Address 2328 Medico Ln
Melbourne
FL 32940-7406
Practice Telephone 3217330064
Mailing Telephone 3217330064
Enumeration Date 2009-09-08
Last Update Date 2017-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
14393 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
9351411 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 308 S HARBOR CITY BLVD STE A
City MELBOURNE
State FL
Zip Code 32901-1500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336684182 Florida Pain & Rehabilitation Institute Inc Physical Medicine & Rehabilitation 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 2017-01-04

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1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
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1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1306409271 Sharon Lou Arnold Nurse Practitioner 54 Tate Springs Rd, Melbourne, AR 72556-8633 2019-04-17

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1023617420 John Bertram Garrett Iv Nurse Practitioner 5079 Garrett Rd, Malone, FL 32445-3409 2020-10-19
1518565894 Karen Giselle Reyes Nurse Practitioner 4563 Perth Rd, West Palm Beach, FL 33415-2811 2020-10-09
1265039424 Catherine Dettelbach Lake Nurse Practitioner 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 2020-10-01
1417562877 Victoria Ann Jacobs Nurse Practitioner 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 2020-09-12
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Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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