Provider Demographics
NPI:1437442076
Name:DUNN, MARY FRANICE (CNM)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANICE
Last Name:DUNN
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 1:20654 N 16TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4355
Mailing Address - Country:US
Mailing Address - Phone:602-778-7487
Mailing Address - Fax:602-778-7490
Practice Address - Street 1:2222 E. HIGHLAND AVE STE. 220
Practice Address - Street 2:KRONOS LONGEVITY RESEARCH INSTITUTE
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4876
Practice Address - Country:US
Practice Address - Phone:602-778-7487
Practice Address - Fax:602-778-7490
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP0107363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health