Provider Demographics
NPI:1649466921
Name:NUNEZ, BEATRIZ ELIZABETH (LVN)
Entity type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:ELIZABETH
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9846 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-4013
Mailing Address - Country:US
Mailing Address - Phone:818-897-7070
Mailing Address - Fax:
Practice Address - Street 1:9846 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-4013
Practice Address - Country:US
Practice Address - Phone:818-897-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN227369164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse