Provider Demographics
NPI:1558675272
Name:NUNES-UENO, ELSA (MS)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:
Last Name:NUNES-UENO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4011
Mailing Address - Country:US
Mailing Address - Phone:206-861-8794
Mailing Address - Fax:206-861-3182
Practice Address - Street 1:1601 16TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4011
Practice Address - Country:US
Practice Address - Phone:206-861-8794
Practice Address - Fax:206-861-3182
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG 60160305106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist