Provider Demographics
NPI:1831798669
Name:NUNEZ, CHARIS XIOMARA (APRN)
Entity type:Individual
Prefix:MS
First Name:CHARIS
Middle Name:XIOMARA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 E ROLLINS ST STE 5300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5519
Mailing Address - Country:US
Mailing Address - Phone:407-821-3555
Mailing Address - Fax:
Practice Address - Street 1:265 E ROLLINS ST STE 5300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5519
Practice Address - Country:US
Practice Address - Phone:407-821-3555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009470363LA2200X
FL11009470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health