Provider Demographics
NPI:1508648486
Name:NUNEZ, CATHERINE NICOLE (APRN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NICOLE
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 NE 150TH ST APT 104
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2644
Mailing Address - Country:US
Mailing Address - Phone:305-956-8661
Mailing Address - Fax:
Practice Address - Street 1:1451 NE 150TH ST APT 104
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-2644
Practice Address - Country:US
Practice Address - Phone:305-956-8661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily