Healthcare Provider Details

I. General information

NPI: 1619162989
Provider Name (Legal Business Name): CLEOPATRA DUNYO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST SUITE 1200
SILVER SPRING MD
20910-3806
US

IV. Provider business mailing address

8630 FENTON ST SUITE 1204
SILVER SPRING MD
20910-3806
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-1250
  • Fax:
Mailing address:
  • Phone: 301-340-7525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR159447
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCERT. #F0807016
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: