Provider Demographics
NPI:1356335871
Name:NUNEZ, ANN C (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:C
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:252-744-3253
Mailing Address - Fax:252-744-3194
Practice Address - Street 1:REGIONAL REHABILITATION CENTER - PCMH
Practice Address - Street 2:2100 STANTONSBURG ROAD
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-744-2207
Practice Address - Fax:252-744-6625
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200300855208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00129768OtherRAILROAD MEDICARE
NC1346WOtherBCBS NC
NC891346WMedicaid
NC891346WMedicaid
2021269Medicare PIN