Provider Demographics
NPI:1407116601
Name:NUNES, ANA TABLANTE (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:TABLANTE
Last Name:NUNES
Suffix:
Gender:F
Credentials:MD,PHD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:TABLANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 CENTER DRIVE 10
Mailing Address - Street 2:B2L312
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:860-966-1940
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE 10
Practice Address - Street 2:B2L312
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:860-966-1940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program