Provider Demographics
NPI:1942602560
Name:NUNEZ, RAQUEL (MSN CRNP FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:MSN CRNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1165
Mailing Address - Country:US
Mailing Address - Phone:484-526-7060
Mailing Address - Fax:484-526-7061
Practice Address - Street 1:685 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1165
Practice Address - Country:US
Practice Address - Phone:484-526-7060
Practice Address - Fax:484-526-7061
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily