Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | CNM2406 | VA |
NPI | 1144627704 |
---|---|
Provider Name | Ms. Monifa Dukes |
First Address | Elizabeth City, NC 27909-3354 |
Second Address | Elizabeth City, NC 27909-3354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2014 |
Last Update Date | 10/02/2016 |