Provider Demographics
NPI:1942831961
Name:NUNEZ, NAHIR L
Entity Type:Individual
Prefix:
First Name:NAHIR
Middle Name:L
Last Name:NUNEZ
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 1:770 SEYMOUR RD NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-5025
Mailing Address - Country:US
Mailing Address - Phone:321-745-0683
Mailing Address - Fax:
Practice Address - Street 1:770 SEYMOUR RD NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-5025
Practice Address - Country:US
Practice Address - Phone:321-745-0683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator