Provider Demographics
NPI:1437792942
Name:NUNEZ, ROSA M (RN)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:M
Last Name:NUNEZ
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 1:1 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3800
Mailing Address - Country:US
Mailing Address - Phone:914-478-1100
Mailing Address - Fax:914-243-1430
Practice Address - Street 1:1 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3800
Practice Address - Country:US
Practice Address - Phone:914-478-1100
Practice Address - Fax:914-243-1430
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY616835163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse