Provider Demographics
NPI:1518481100
Name:NUNEZ, HUGO ANTONIO (AGNP-C/RNFA)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:ANTONIO
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:AGNP-C/RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W PURVIS ST
Mailing Address - Street 2:
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-9503
Mailing Address - Country:US
Mailing Address - Phone:862-334-4464
Mailing Address - Fax:
Practice Address - Street 1:504 RED BANKS RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5766
Practice Address - Country:US
Practice Address - Phone:252-321-3579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00721000363L00000X
NC5017201363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner