Individual
MS. CAROLEE JAYNE DUNIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-221584
IL
163W00000X
Registered Nurse
585551
CA
367A00000X
Advanced Practice Midwife
209-001585
IL
367A00000X
Advanced Practice Midwife
Primary
NMW 1535
CA
Other
Enumeration date
12/14/2006
Last updated
11/04/2010
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