Provider Demographics
NPI:1083180210
Name:NUNEZ, JAMES GERARD (RN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GERARD
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 MARINDA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-8500
Mailing Address - Country:US
Mailing Address - Phone:531-299-1760
Mailing Address - Fax:
Practice Address - Street 1:4444 MARINDA ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-8500
Practice Address - Country:US
Practice Address - Phone:531-299-1760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE43646163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool