Provider Demographics
NPI:1790276889
Name:NUNO, CATALINA FRANSISCA
Entity Type:Individual
Prefix:
First Name:CATALINA
Middle Name:FRANSISCA
Last Name:NUNO
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 1:811 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-3257
Mailing Address - Country:US
Mailing Address - Phone:262-412-4219
Mailing Address - Fax:
Practice Address - Street 1:811 FOREST ST
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-3257
Practice Address - Country:US
Practice Address - Phone:262-412-4219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI313572164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse