Provider Demographics
NPI:1427702067
Name:NUNN, NOELLE R (LSW)
Entity type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:R
Last Name:NUNN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:NOELLE
Other - Middle Name:R
Other - Last Name:FIORENZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:41 MONTEBELLO RD STE 204
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1379
Mailing Address - Country:US
Mailing Address - Phone:719-423-1341
Mailing Address - Fax:719-545-4100
Practice Address - Street 1:1591 TAOS RD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81006-1232
Practice Address - Country:US
Practice Address - Phone:719-545-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009923920104100000X
COLSW.0009923920101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker