Healthcare Provider Details

I. General information

NPI: 1639209505
Provider Name (Legal Business Name): DAWN C DURAIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 E STATE ST
TRENTON NJ
08608-1501
US

IV. Provider business mailing address

192 HOPEWELL PENNINGTON RD
HOPEWELL NJ
08525-2129
US

V. Phone/Fax

Practice location:
  • Phone: 609-599-4881
  • Fax:
Mailing address:
  • Phone: 609-466-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00011101
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: