Provider Demographics
NPI:1376141366
Name:NUNEZ, LIZETH VANESSA (MSN, CRNA, APN-A)
Entity Type:Individual
Prefix:
First Name:LIZETH
Middle Name:VANESSA
Last Name:NUNEZ
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Gender:F
Credentials:MSN, CRNA, APN-A
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:272 WHITE OAK CT
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-0703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 ROUTE 37 W
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6423
Practice Address - Country:US
Practice Address - Phone:732-557-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2022-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ134296367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered