Provider Demographics
NPI:1427749373
Name:NUNEZ, PAULO (CHC)
Entity type:Individual
Prefix:
First Name:PAULO
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SHERMAN PL
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3730
Mailing Address - Country:US
Mailing Address - Phone:973-766-2165
Mailing Address - Fax:
Practice Address - Street 1:16 SHERMAN PL
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3730
Practice Address - Country:US
Practice Address - Phone:973-766-2165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ61353012171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach