Individual
KAREN RENEE DUNIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1920 E. CAMBRIDGE AVE, # 302, PHOENIX, AZ 85006
(602) 279-1697
(602) 264-0461
Mailing address
1920 E. CAMBRIDGE AVE, # 302, PHOENIX, AZ 85006
(602) 279-1697
(602) 264-0461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20080169
AZ
363L00000X
Nurse Practitioner
AP1995
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897598
—
AZ
Enumeration date
01/18/2006
Last updated
04/14/2011
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