Healthcare Provider Details

I. General information

NPI: 1952186983
Provider Name (Legal Business Name): EVA ROSE DUNDER CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NEW JERSEY AVE SE STE 500
WASHINGTON DC
20003-3326
US

IV. Provider business mailing address

1100 NEW JERSEY AVE SE STE 500
WASHINGTON DC
20003-3326
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-7901
  • Fax:
Mailing address:
  • Phone: 202-715-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM500013763
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: