Provider Demographics
NPI:1003951831
Name:NUNES, CAROLE ANN (RN, APN,C)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANN
Last Name:NUNES
Suffix:
Gender:F
Credentials:RN, APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 NIBLICK ST
Mailing Address - Street 2:
Mailing Address - City:PT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-3116
Mailing Address - Country:US
Mailing Address - Phone:732-701-0613
Mailing Address - Fax:
Practice Address - Street 1:69 NEWMAN SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4038
Practice Address - Country:US
Practice Address - Phone:732-842-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09453100163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory