IndividualActive
Carol Dehaven, CNM
NPI 1609079110 · Advanced Practice Midwife · Leonardtown, MD
Provider details
- NPI number
- 1609079110
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- R063454 (MD)
Practice location
23000 Moakley St
Suite 203
Leonardtown, MD 20650-2915
Phone: (301) 475-8599
Fax: (301) 475-1514
Mailing address
Po Box 1536
La Plata, MD 20646-1536
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.