Provider Demographics
NPI:1295430130
Name:NUNLEY, RAELYNA CHER'RE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:RAELYNA
Middle Name:CHER'RE
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:RAE
Other - Middle Name:CHER'RE
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:5510 S RICE AVE APT 1916
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2157
Mailing Address - Country:US
Mailing Address - Phone:713-412-5729
Mailing Address - Fax:
Practice Address - Street 1:11476 SPACE CENTER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-3656
Practice Address - Country:US
Practice Address - Phone:713-486-6375
Practice Address - Fax:713-500-0550
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110281363LA2100X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care