Provider Demographics
NPI:1992178859
Name:NUNN, MELISSA FERNIZ (APRN, CPNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:FERNIZ
Last Name:NUNN
Suffix:
Gender:F
Credentials:APRN, CPNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:EILEEN
Other - Last Name:FERNIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HENRY CLAY AVENUE
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-896-9474
Mailing Address - Fax:
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118
Practice Address - Country:US
Practice Address - Phone:504-896-9474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-01
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08542363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics