Individual
MRS. DIANE LYNN DUNNIWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1180 NEWFIELD AVE, STAMFORD, CT 06905-1409
(314) 888-5233
Mailing address
1180 NEWFIELD AVE, STAMFORD, CT 06905-1409
(314) 888-5233
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209004498
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041207195
—
IL
Enumeration date
12/11/2006
Last updated
03/17/2023
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