Provider Demographics
NPI:1558116780
Name:NUNEZ, NORA EMILIA
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:EMILIA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 ANSDEL CT
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3052
Mailing Address - Country:US
Mailing Address - Phone:787-244-1258
Mailing Address - Fax:
Practice Address - Street 1:2420 ANSDEL CT
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3052
Practice Address - Country:US
Practice Address - Phone:787-244-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program