# CARLEYNA MARIAH DANCING STAR NUNES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558659144
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101260851 | VA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 50034 | AZ | — |
| 207V00000X | Obstetrics & Gynecology Physician | R72602 | AZ | — |

## Other

- **Enumeration date:** 07/15/2011
- **Last updated:** 11/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1558659144 | — | VA |
| 05 | — | 5372 | — | AZ |
| 01 | — | R72602 | MEDICAL LICENSE NUMBER | AZ |