Provider Demographics
NPI:1407834559
Name:NUNES, GEORGE DANNY (FNP)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:DANNY
Last Name:NUNES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8665 N CEDAR AVE
Mailing Address - Street 2:129
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1822
Mailing Address - Country:US
Mailing Address - Phone:559-438-5507
Mailing Address - Fax:
Practice Address - Street 1:1419 N ACACIA AVE
Practice Address - Street 2:110
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2102
Practice Address - Country:US
Practice Address - Phone:559-638-5005
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 14168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP 14168OtherFNP