Provider Demographics
NPI:1386848646
Name:DUNLAVEY, MARY LAURA (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:LAURA
Last Name:DUNLAVEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8579 COMMERCE DR 106
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7420
Mailing Address - Country:US
Mailing Address - Phone:410-819-0404
Mailing Address - Fax:410-819-0751
Practice Address - Street 1:8579 COMMERCE DR 106
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7420
Practice Address - Country:US
Practice Address - Phone:410-819-0404
Practice Address - Fax:410-819-0751
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR125607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR125607OtherNURSING/NP