Provider Demographics
NPI:1497361430
Name:SUNDAY, MARILYN DORMUBARI (RN)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:DORMUBARI
Last Name:SUNDAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MARILYN
Other - Middle Name:D
Other - Last Name:SUNDAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MARILYN WILLIAMSON
Mailing Address - Street 1:7511 CLEAR LAKE ALY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-8743
Mailing Address - Country:US
Mailing Address - Phone:916-664-7684
Mailing Address - Fax:
Practice Address - Street 1:7511 CLEAR LAKE ALY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-8743
Practice Address - Country:US
Practice Address - Phone:916-664-7684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032926163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health