Provider Demographics
NPI:1033527775
Name:NUNN, CELIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:
Last Name:NUNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 VERSAILLES AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5451
Mailing Address - Country:US
Mailing Address - Phone:510-864-0786
Mailing Address - Fax:
Practice Address - Street 1:1114 VERSAILLES AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5451
Practice Address - Country:US
Practice Address - Phone:510-864-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA710956163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse