Provider Demographics
NPI:1629735881
Name:NUNEZ GONZALEZ, ISAMAR
Entity type:Individual
Prefix:
First Name:ISAMAR
Middle Name:
Last Name:NUNEZ GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 W SHAW AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3504
Mailing Address - Country:US
Mailing Address - Phone:559-941-3577
Mailing Address - Fax:559-941-3577
Practice Address - Street 1:1680 W SHAW AVE STE 100
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3504
Practice Address - Country:US
Practice Address - Phone:559-941-3577
Practice Address - Fax:559-941-3577
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist