Provider Demographics
NPI:1528880622
Name:NUNEZ PETERSSEN, DYNIA MARIA (APRN)
Entity type:Individual
Prefix:
First Name:DYNIA
Middle Name:MARIA
Last Name:NUNEZ PETERSSEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11466 SW 35TH LN # IN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3367
Mailing Address - Country:US
Mailing Address - Phone:786-873-5707
Mailing Address - Fax:
Practice Address - Street 1:13910 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3014
Practice Address - Country:US
Practice Address - Phone:305-717-0420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036489363LF0000X
FLRN9513687163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily