Provider Demographics
NPI:1316411333
Name:NUNCIO, JOSEPH ANTHONY (AGNP, NP-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:NUNCIO
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Gender:M
Credentials:AGNP, NP-C
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Mailing Address - Street 1:11151 HIGLEY CIR W
Mailing Address - Street 2:
Mailing Address - City:SCHOOLCRAFT
Mailing Address - State:MI
Mailing Address - Zip Code:49087-8468
Mailing Address - Country:US
Mailing Address - Phone:989-274-0017
Mailing Address - Fax:888-483-0118
Practice Address - Street 1:629 PIONEER ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008
Practice Address - Country:US
Practice Address - Phone:269-888-9012
Practice Address - Fax:269-381-2437
Is Sole Proprietor?:No
Enumeration Date:2019-01-12
Last Update Date:2022-02-17
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Provider Licenses
StateLicense IDTaxonomies
MI4704264632363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care