Provider Demographics
NPI:1164866943
Name:DUNAGAN, DINA L (CNM)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:L
Last Name:DUNAGAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 PURDY ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4060
Mailing Address - Country:US
Mailing Address - Phone:410-820-0038
Mailing Address - Fax:
Practice Address - Street 1:401 PURDY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4060
Practice Address - Country:US
Practice Address - Phone:410-820-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2042363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology