Provider Demographics
NPI:1982391363
Name:D'ANNUNZIO, CAROLYN (CNM)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:D'ANNUNZIO
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 1:5701 BOW POINTE DR STE 350
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-5406
Mailing Address - Country:US
Mailing Address - Phone:248-384-8020
Mailing Address - Fax:
Practice Address - Street 1:5701 BOW POINTE DR STE 350
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-5406
Practice Address - Country:US
Practice Address - Phone:248-384-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife