Provider Demographics
NPI:1821867300
Name:NUNEZ, JANSSEL EUFEMIO (RN)
Entity Type:Individual
Prefix:
First Name:JANSSEL
Middle Name:EUFEMIO
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 E 116TH ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-1529
Mailing Address - Country:US
Mailing Address - Phone:646-238-0697
Mailing Address - Fax:
Practice Address - Street 1:312 E 116TH ST APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-1529
Practice Address - Country:US
Practice Address - Phone:646-238-0697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY82610701163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse