Provider Demographics
NPI:1750871026
Name:NZUNA, MICHELLE RENEE (DO)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RENEE
Last Name:NZUNA
Suffix:
Gender:
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:984-215-6050
Mailing Address - Fax:984-215-4053
Practice Address - Street 1:109A AIRPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1603
Practice Address - Country:US
Practice Address - Phone:252-643-7575
Practice Address - Fax:252-643-7577
Is Sole Proprietor?:No
Enumeration Date:2018-05-13
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2022-02714208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics