Provider Demographics
NPI:1598002875
Name:NUNEZ, MARIA DE LOS ANGELES (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DE LOS ANGELES
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 DUNSWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4515
Mailing Address - Country:US
Mailing Address - Phone:310-650-3757
Mailing Address - Fax:
Practice Address - Street 1:16510 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2115
Practice Address - Country:US
Practice Address - Phone:562-229-0902
Practice Address - Fax:562-229-0952
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily